Individual
DR. AMJAD MUNIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1820 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-3725
(954) 771-7900
(954) 771-6863
Mailing address
PO BOX 11527, FORT LAUDERDALE, FL 33339
(954) 771-7900
(954) 771-6863
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME39847
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043964900
—
FL
01
—
ME39847
STATE LICENSE
FL
Enumeration date
06/16/2005
Last updated
08/01/2014
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