Individual
JAWAD AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 223-5618
(772) 288-5834
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME132786
FL
208M00000X
Hospitalist Physician
Primary
ME132786
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022021400
—
FL
01
—
3Y4SP
FLORIDA BLUE
FL
01
—
LJ703
MEDICARE PTAN
FL
Enumeration date
04/02/2014
Last updated
07/24/2019
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