Organization
SOUTH ATLANTIC RETINA PLLC
Active
Other names
South Atlantic Retina
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED M ELKEEB MD, MBA (OWNER)
(904) 658-0176
Entity
Organization
Contact information
Practice address
3627 UNIVERSITY BLVD S STE 605, JACKSONVILLE, FL 32216-7401
(904) 658-0176
Mailing address
4719 VALHALLA CT, COLUMBIA, MO 65203-4212
(904) 658-0176
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
05/08/2026
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