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Organization

PUTNAM OBSTETRICS AND GYNECOLOGY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMED MICHAEL AKHIYAT M.D. (PRESIDENT)
(386) 325-0826
Entity
Organization

Contact information

Practice address
6061 SAINT JOHNS AVE, SUITE A, PALATKA, FL 32177-6857
(386) 325-0826
(386) 325-6419
Mailing address
6061 SAINT JOHNS AVE, SUITE A, PALATKA, FL 32177-6857
(386) 325-0826
(386) 325-6419

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
660162600
FL
05
660162601
FL
Enumeration date
03/09/2006
Last updated
07/17/2014
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