Organization
JAX PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIAZ AHMED M.D. (M.D./ PRESIDENT)
(904) 834-8042
Entity
Organization
Contact information
Practice address
145 HILDEN RD STE 108, PONTE VEDRA, FL 32081-8401
(904) 834-1242
Mailing address
145 HILDEN RD STE 108, PONTE VEDRA, FL 32081-8401
(904) 834-1242
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/12/2021
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