MEDICARE: DR. SAQIB AHMED 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	207N00000X	Dermatology Physician	ME139496	FL
2	207ND0101X	MOHS-Micrographic Surgery Physician	ME139496	FL

General Provider Information

NPI Number	:	1801214721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAQIB AHMED M.D.

Provider Business Mailing Address
First Line	:	515 W SR 434 STE 210
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750-5162
Country	:	US
Telephone Number	:	407-332-8080
Fax Number	:	407-260-0602

Provider Business Practice Location Address
First Line	:	515 W SR 434 STE 210
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750-5162
Country	:	US
Telephone Number	:	407-332-8080
Fax Number	:	407-260-0602

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

Provider Enumeration Date	:	03/29/2014
Last Update Date	:	07/14/2025

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