=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982870507
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VITAL SIGNS PHYSICIANS FL PL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/04/2008
-----------------------------------------------------
Last Update Date | 07/03/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1504 VILLAGE OAK LANE
-----------------------------------------------------
City | KISSIMMEE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34746
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-944-4458
-----------------------------------------------------
Fax | 407-944-4459
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 700418
-----------------------------------------------------
City | SAINT CLOUD
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34770-0418
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-944-4458
-----------------------------------------------------
Fax | 407-944-4459
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. SYED AMIR AHMED
-----------------------------------------------------
Credential | DR
-----------------------------------------------------
Telephone | 407-944-4458
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | ME0084940
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------