MEDICARE: FAROOQ LATEEF 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	174400000X	Specialist	75932	FL

General Provider Information

NPI Number	:	1982802823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAROOQ LATEEF M.D.

Provider Business Mailing Address
First Line	:	2810 W SAINT ISABEL ST STE 201
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6375
Country	:	US
Telephone Number	:	813-890-8004
Fax Number	:	813-290-9691

Provider Business Practice Location Address
First Line	:	6001 VINELAND RD STE 116
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7829
Country	:	US
Telephone Number	:	407-351-1888
Fax Number	:	407-226-9804

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

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	03/25/2026

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