Individual
AZIZ AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 OHIO AVE, LYNN HAVEN, FL 32444-2558
(850) 265-6604
(850) 265-4879
Mailing address
PO BOX 30120, PENSACOLA, FL 32503-1120
(850) 478-1312
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0037515
FL
208C00000X
Colon & Rectal Surgery Physician
ME0035715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039367300
—
FL
01
—
40860
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/30/2006
Last updated
03/08/2022
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