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EJAZ AHMED MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1003841081

Individual Registrant:
 EJAZ  AHMED MD
Gender: M
Sole Proprietor

Location and contact information for practice:
405 N CLYDE MORRIS BLVD  DAYTONA BEACH, FL 32114-2730 US
Tel: 386-506-8555  Fax: 386-944-9944

Contact information for business:
405 N CLYDE MORRIS BLVD  DAYTONA BEACH, FL 32114-2730 US
Tel: 386-506-8555  Fax: 386-944-9944

Registration Information:
NPI: 1003841081
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
FLME95557

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
020641400FL05




HEALTH CARE JOBS FL - Page 1



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