Individual
DR. AHMAD SHAMSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
731 DUNLAWTON AVE, SUITES 101 & 102, PORT ORANGE, FL 32127-4236
(386) 767-9585
(386) 767-9769
Mailing address
731 DUNLAWTON AVE, SUITES 101 & 102, PORT ORANGE, FL 32127-4236
(386) 767-9585
(386) 767-9769
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME90030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269974500
—
FL
01
—
ME90030
MEDICAL LICENSE
FL
Enumeration date
02/15/2006
Last updated
08/02/2013
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