| Doctor Name: | SARIM IDREES |
| NPI Number: | 1144617382 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 19123 |
| Business Practice Address: | 4725 Us 98 S Ste 101 Lakeland, FL - 338124334 |
| Business Phone Number: | 8636469663 |
| Business Fax Number: | |
| Mailing Address: | 935 Castle Way, LAKELAND |
| State: | FL |
| Postal Code: | 33803 |
| Phone Number: | 4235053053 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2015 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 19123 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |