# AHMAD NEMATBAKHSH DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003098641
- **Authorized official:** PAMELA SPINDEL (OFFICE MANAGER)
- **Authorized official phone:** (727) 528-6100

## Contact information

- **Practice address:** 5800 49TH ST N STE 204S, ST PETERSBURG, FL 33709-2100
- **Practice address phone:** (727) 528-6100
- **Practice address fax:** (727) 528-7895
- **Mailing address:** 5800 49TH ST N STE 204S, ST PETERSBURG, FL 33709-2100
- **Mailing address phone:** (727) 528-6100
- **Mailing address fax:** (727) 528-7895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | OS9206 | FL | Yes |

## Other

- **Enumeration date:** 12/05/2007
- **Last updated:** 09/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 269694100 | — | FL |