Individual
AHMED RIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4105 PEMBROKE RD, HOLLYWOOD, FL 33021-8103
(954) 276-5552
(954) 985-2295
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-3000
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS17807
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115824400
—
FL
Enumeration date
04/11/2018
Last updated
02/04/2025
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