Organization Active NPI

Doctor Near Me, PLLC

  • Family Medicine Physician
  • Clermont, FL
National Provider Identifier
1306544804
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOCTOR NEAR ME, PLLC
Practice address
3232 Citrus Tower Blvd
Clermont, FL 34711-7012
Phone
(352) 810-4187
Fax
(866) 611-2858
NPI assigned
Feb 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Zaeem Ahmed Qureshi, D.O.NPI 1780244327
Title
Medical Director
Phone
(352) 810-4187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3232 Citrus Tower Blvd
Clermont, FL 34711-7012

Mailing address

3232 Citrus Tower Blvd
Clermont, FL 34711-7012
Phone (352) 810-4187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230616001671 FL Part B Supplier - Clinic/Group Practice 7012375447 Receives reassigned benefits from 1 practitioner
Practice locations: Clermont, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2329014Doctor Near Me PLLC3232 Citrus Tower Blvd P2, Clermont, FL 34711Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory

Locations

1950 Hospital View Way
Clermont, FL 34711
Phone (321) 274-1864

3232 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 227-3341

7975 Lake Underhill Rd
Ste 210
Orlando, FL 32822
Phone (407) 303-6830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1306544804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 CITRUS TOWER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117012",
            "telephone_number": "352-810-4187",
            "fax_number": "866-611-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 CITRUS TOWER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117012",
            "telephone_number": "352-810-4187",
            "fax_number": "866-611-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR NEAR ME, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "ZAEEM",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "352-810-4187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.