Individual
MR. AHMED A FADAIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME160587
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
MD
Other
Enumeration date
06/29/2020
Last updated
10/19/2023
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