Organization
AHMAD S BARAKZOY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD S BARAKZOY MD (OWNER)
(904) 579-3578
Entity
Organization
Contact information
Practice address
2035 PROFESSIONAL CENTER DR STE A, ORANGE PARK, FL 32073-4462
(904) 579-3578
(904) 375-8568
Mailing address
2035 PROFESSIONAL CENTER DR STE A, ORANGE PARK, FL 32073-4462
(904) 579-3578
(907) 375-8568
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME94217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273911900
—
FL
Enumeration date
07/23/2010
Last updated
10/27/2023
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