Provider Demographics
NPI:1730249210
Name:NISHAT, SEEMA (MD)
Entity type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:
Last Name:NISHAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14690 SPRING HILL DR
Mailing Address - Street 2:STE 305
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8102
Mailing Address - Country:US
Mailing Address - Phone:352-277-5348
Mailing Address - Fax:352-606-2857
Practice Address - Street 1:11451 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-7367
Practice Address - Country:US
Practice Address - Phone:352-797-9677
Practice Address - Fax:352-600-8913
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME84469207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL56150OtherBCBS OF FL
FLP01139562OtherRR MCR
FLP01139562OtherRR MCR
U5904ZMedicare ID - Type Unspecified
FLU5904YMedicare PIN