Organization
AJD MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO DECARLI M.D. (CEO)
(386) 427-0390
Entity
Organization
Contact information
Practice address
1722 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-8339
(386) 427-0390
(386) 427-0394
Mailing address
PO BOX 2616, NEW SMYRNA BEACH, FL 32170-2616
(386) 427-0390
(386) 427-0394
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
82935
FL
Other
Enumeration date
12/14/2012
Last updated
01/23/2021
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