Individual
HALEEMAH B AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
714 AVENUE C, FORT PIERCE, FL 34950-4189
(772) 462-3800
Mailing address
5150 NW MILNER DR, PORT ST LUCIE, FL 34983-3392
(772) 462-3874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14245
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075332700
—
FL
Enumeration date
09/28/2006
Last updated
05/05/2010
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