# EMAD EKLADIOS M D P A

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

## Provider details

- **NPI number:** 1063671246
- **Authorized official:** EMAD EZRA EKLADIOS M D (PRESIDENT)
- **Authorized official phone:** (954) 963-2555

## Contact information

- **Practice address:** 2231 N UNIVERSITY DR, SUITE C, PEMBROKE PINES, FL 33024-3611
- **Practice address phone:** (954) 963-2555
- **Practice address fax:** (954) 963-2288
- **Mailing address:** PO BOX 848488, PEMBROKE PINES, FL 33084-0488
- **Mailing address phone:** (954) 963-2555
- **Mailing address fax:** (954) 963-2288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME0064340 | FL | Yes |

## Other

- **Enumeration date:** 06/03/2008
- **Last updated:** 08/26/2008