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ANIS A. AHMADI MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1932270832

Individual Registrant:
 ANIS A. AHMADI MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
216 SOUTHPARK CIR E  SAINT AUGUSTINE, FL 32086-5135 US
Tel: 904-824-6108  Fax: 904-823-9613

Contact information for business:
216 SOUTHPARK CIR E  SAINT AUGUSTINE, FL 32086-5135 US
Tel: 904-824-6108  Fax: 904-823-9613

Registration Information:
NPI: 1932270832
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
FLME102708
Y207RG0100XAllopathic & Osteopathic Physicians
Internal Medicine
FLME102708

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000732600FL05




HEALTH CARE JOBS FL - Page 1



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