Provider Demographics
NPI:1194769836
Name:LATEEF, SYED K (MD)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:K
Last Name:LATEEF
Suffix:
Gender:
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:821 OAKLEY SEAVER DR
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1968
Mailing Address - Country:US
Mailing Address - Phone:352-242-1665
Mailing Address - Fax:352-243-1649
Practice Address - Street 1:821 OAKLEY SEAVER DR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1968
Practice Address - Country:US
Practice Address - Phone:352-242-1665
Practice Address - Fax:352-243-1649
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0055741207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL061370300Medicaid
E60118Medicare UPIN