MEDICARE: DR. JALAL AL DEEN KURDI 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	207Q00000X	Family Medicine Physician	ME119544	FL

General Provider Information

NPI Number	:	1962790519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JALAL AL DEEN KURDI M.D.

Provider Business Mailing Address
First Line	:	2710 REW CIR STE 200
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-2967
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2710 REW CIR STE 200
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-2967
Country	:	US
Telephone Number	:	813-317-5674
Fax Number	:

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

Provider Enumeration Date	:	07/18/2011
Last Update Date	:	04/13/2026

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