Organization
AJD MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO DECARLI MD (PRESIDENT)
(386) 423-5500
Entity
Organization
Contact information
Practice address
612 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7327
(386) 423-5500
Mailing address
612 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7327
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME82935
FL
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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