Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | ME0108255 | FL |
N | 207QG0300X | Family Doctor - Geriatric Medicine | ME108255 | FL |
NPI | 1306138623 |
---|---|
Provider Name | Noureen Akbar |
First Address | Orlando, FL 32822-8108 |
Second Address | Orlando, FL 32822-8108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2011 |
Last Update Date | 06/10/2020 |