Organization
DR EJAZ AHMED MD PA
Active
Other names
URGENT CARE & FAMILY PRACTICE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EJAZ AHMED MD (PRESIDENT)
(386) 235-8731
Entity
Organization
Contact information
Practice address
405 NORTH CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2730
(386) 235-8731
(386) 269-9555
Mailing address
3848 CALLIOPE AVE, PORT ORANGE, FL 32129-6025
(386) 235-8731
(386) 269-9555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME95557
FL
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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