Healthcare Provider Details

I. General information

NPI: 1144483363
Provider Name (Legal Business Name): AIDA BEHANI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AIDA AHMED BEHANI M.D

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 E MAIN ST
TAVARES FL
32778-3808
US

IV. Provider business mailing address

110 S WOODLAND ST
WINTER GARDEN FL
34787-3546
US

V. Phone/Fax

Practice location:
  • Phone: 407-905-8827
  • Fax: 407-660-1667
Mailing address:
  • Phone: 407-905-8827
  • Fax: 407-660-1667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME109509
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: