Individual
DR. RIAZ AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 470-5800
(352) 384-8014
Mailing address
145 HILDEN RD STE 108, PONTE VEDRA, FL 32081-8401
(904) 834-8042
(904) 717-8429
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ACN820
FL
2084P0800X
Psychiatry Physician
P70149
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KZ545
MEDICARE
FL
Enumeration date
06/01/2009
Last updated
01/25/2022
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