Organization
KIDS AND TEENS ORTHOPAEDIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHAMED MOHAIDEEN MD (PRESIDENT)
(561) 906-7680
Entity
Organization
Contact information
Practice address
8645 N MILITARY TRL, SUITE 501, WEST PALM BEACH, FL 33410-6294
(561) 691-8050
(561) 622-9942
Mailing address
PO BOX 32367, PALM BEACH GARDENS, FL 33420-2367
(561) 906-7680
(866) 405-2914
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME 84411
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264003100
—
FL
Enumeration date
06/11/2006
Last updated
12/05/2012
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