Healthcare Provider Details

I. General information

NPI: 1942135546
Provider Name (Legal Business Name): DR. SUHAYB HUSSAINI SYED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 W MITCHELL HAMMOCK RD STE 1511
OVIEDO FL
32765-6969
US

IV. Provider business mailing address

7866 JUBILEE PARK BLVD APT 1614
ORLANDO FL
32822-5236
US

V. Phone/Fax

Practice location:
  • Phone: 407-604-0399
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN31723
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: