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Individual

MASUD AHMAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
330 SW 27TH AVE, FORT LAUDERDALE, FL 33312-2051
(954) 791-4300
Mailing address
4740 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9358570
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9358570
FL

Other

Enumeration date
12/04/2014
Last updated
07/28/2020
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