MEDICARE: GULE YASMEEN NAEEM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME0067106	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2	OTHER	FL	PIN

General Provider Information

NPI Number	:	1063609154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GULE YASMEEN NAEEM MD

Provider Business Mailing Address
First Line	:	1219 S EAST AVE STE 102
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-2351
Country	:	US
Telephone Number	:	941-953-2900
Fax Number	:	941-953-2428

Provider Business Practice Location Address
First Line	:	1219 S EAST AVE STE 102
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-2351
Country	:	US
Telephone Number	:	941-953-2900
Fax Number	:	941-953-2428

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GULE YASMEEN NAEEM
Credential	:	M.D.
Telephone Number	:	941-953-2900

Provider Enumeration Date	:	10/02/2007
Last Update Date	:	10/23/2007

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