Provider Demographics
NPI:1306544804
Name:DOCTOR NEAR ME, PLLC
Entity type:Organization
Organization Name:DOCTOR NEAR ME, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAEEM
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:QURESHI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:352-810-4187
Mailing Address - Street 1:3232 CITRUS TOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-7012
Mailing Address - Country:US
Mailing Address - Phone:352-810-4187
Mailing Address - Fax:866-611-2858
Practice Address - Street 1:3232 CITRUS TOWER BLVD
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-7012
Practice Address - Country:US
Practice Address - Phone:352-810-4187
Practice Address - Fax:866-611-2858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty