# M. EMDADUL HAQUE MD PA

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

## Provider details

- **NPI number:** 1073773214
- **Authorized official:** DR. M. EMDADUL HAQUE MD (OWNER)
- **Authorized official phone:** (386) 427-4752

## Contact information

- **Practice address:** 412 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7361
- **Practice address phone:** (386) 427-4752
- **Mailing address:** 412 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7361
- **Mailing address phone:** (386) 427-4752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | ME0076036 | FL | Yes |

## Other

- **Enumeration date:** 06/11/2008
- **Last updated:** 06/11/2008