Organization
M. EMDADUL HAQUE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M. EMDADUL HAQUE MD (OWNER)
(386) 427-4752
Entity
Organization
Contact information
Practice address
412 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7361
(386) 427-4752
Mailing address
412 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7361
(386) 427-4752
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME0076036
FL
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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