MEDICARE: MS. ROSEMEEN QADIR DAOOD D.M.D.

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	1223P0300X	Periodontics	DN18199	FL

General Provider Information

NPI Number	:	1649550310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSEMEEN QADIR DAOOD D.M.D.

Provider Business Mailing Address
First Line	:	17000 N BAY RD
Second Line	:	UNIT 712
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-3698
Country	:	US
Telephone Number	:	954-770-2820
Fax Number	:

Provider Business Practice Location Address
First Line	:	17000 N BAY RD
Second Line	:	UNIT 712
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-3698
Country	:	US
Telephone Number	:	954-770-2820
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2011
Last Update Date	:	08/25/2011

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