Healthcare Provider Details

I. General information

NPI: 1255302949
Provider Name (Legal Business Name): NASIMA HAMIDALI GOWANI M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 02/03/2023
Certification Date: 02/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7224 STONEROCK CIR
ORLANDO FL
32819-8000
US

IV. Provider business mailing address

7224 STONEROCK CIR
ORLANDO FL
32819-8000
US

V. Phone/Fax

Practice location:
  • Phone: 407-345-4999
  • Fax: 407-352-6450
Mailing address:
  • Phone: 407-345-4999
  • Fax: 407-352-6450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License NumberME0071270
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number0071270
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberME0071270
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: