Provider Demographics
NPI:1205715596
Name:ISMAIL, AHMED ABDULLAH A (RPH)
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:ABDULLAH A
Last Name:ISMAIL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8025 LEE VISTA BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8374
Mailing Address - Country:US
Mailing Address - Phone:407-275-6366
Mailing Address - Fax:
Practice Address - Street 1:8025 LEE VISTA BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-8374
Practice Address - Country:US
Practice Address - Phone:407-275-6366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS69082183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist