MEDICARE: DOCTOR NEAR ME, PLLC

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	207Q00000X	Family Medicine Physician

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

General Provider Information

NPI Number	:	1306544804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTOR NEAR ME, PLLC

Provider Business Mailing Address
First Line	:	3232 CITRUS TOWER BLVD
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-7012
Country	:	US
Telephone Number	:	352-810-4187
Fax Number	:	866-611-2858

Provider Business Practice Location Address
First Line	:	3232 CITRUS TOWER BLVD
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-7012
Country	:	US
Telephone Number	:	352-810-4187
Fax Number	:	866-611-2858

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. ZAEEM AHMED QURESHI
Credential	:	D.O.
Telephone Number	:	352-810-4187

Provider Enumeration Date	:	02/23/2023
Last Update Date	:	09/05/2024

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