Provider Demographics
NPI:1215323894
Name:AL-HADDAD, SARMED (MD)
Entity type:Individual
Prefix:
First Name:SARMED
Middle Name:
Last Name:AL-HADDAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 WHEELHOUSE LN APT 335
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3799
Mailing Address - Country:US
Mailing Address - Phone:404-993-7291
Mailing Address - Fax:404-752-8682
Practice Address - Street 1:4525 INTERNATIONAL PKWY
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-9624
Practice Address - Country:US
Practice Address - Phone:407-328-0201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-10
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME140694207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine