| Jas Medical Management Llc | |
|
6151 Miramar Pkwy Suite 104 Miramar FL 33023-3970 | |
| (954) 965-6001 | |
| (954) 965-6009 |
| Full Name | Jas Medical Management Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6151 Miramar Pkwy, Miramar, Florida |
| Authorized Official Name and Position | Sultan S Ahmed (PRESIDENT) |
| Authorized Official Contact | 9549656001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jas Medical Management Llc 1981 Sw 133rd Ave Miramar FL 33027-3457 Ph: (954) 965-6001 | Jas Medical Management Llc 6151 Miramar Pkwy Suite 104 Miramar FL 33023-3970 Ph: (954) 965-6001 |
| NPI Number | 1386733822 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 03/11/2025 |
| Medicare PECOS PAC ID | 0648238592 |
|---|---|
| Medicare Enrollment ID | O20041227000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386733822 | NPI | - | NPPES |
| 32644 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sultan S Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730129222 PECOS PAC ID: 9133118193 Enrollment ID: I20040506001191 |
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