Healthcare Provider Details

I. General information

NPI: 1891348470
Provider Name (Legal Business Name): AIMEN FAROOQ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2019
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 E ROLLINS ST STE 10000
ORLANDO FL
32804-5572
US

IV. Provider business mailing address

265 E ROLLINS ST STE 10000
ORLANDO FL
32804-5572
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-9921
  • Fax:
Mailing address:
  • Phone: 407-303-9921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME156384
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME156384
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number29827
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: