Individual
AYED O AYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 SHIRCLIFF WAY STE 800, JACKSONVILLE, FL 32204
(904) 388-2619
(904) 388-0240
Mailing address
7751 BELFORT PKWY STE 350, JACKSONVILLE, FL 32256-6951
(904) 363-7453
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME135547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024712400
—
FL
01
—
KD305
MEDICARE
FL
01
—
P02143073
RR MEDICARE
FL
01
—
XMLGV
FLORIDA BLUE
FL
Enumeration date
09/05/2012
Last updated
07/10/2024
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