Organization
AJD MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO DECARLI (OWNER/CEO)
(386) 427-0390
Entity
Organization
Contact information
Practice address
501 LIVE OAK ST, SUITE B, NEW SMYRNA BEACH, FL 32168-7312
(386) 427-0390
(386) 427-0394
Mailing address
501 LIVE OAK ST, SUITE B, NEW SMYRNA BEACH, FL 32168-7312
(386) 427-0390
(386) 427-0394
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
82935
FL
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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