| Dr Ejaz Ahmed Md Pa | |
|
405 North Clyde Morris Blvd Daytona Beach FL 32114-2730 | |
| (386) 235-8731 | |
| (386) 269-9555 |
| Full Name | Dr Ejaz Ahmed Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 405 North Clyde Morris Blvd, Daytona Beach, Florida |
| Authorized Official Name and Position | Ejaz Ahmed (PRESIDENT) |
| Authorized Official Contact | 3862358731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ejaz Ahmed Md Pa 3848 Calliope Ave Port Orange FL 32129-6025 Ph: (386) 235-8731 | Dr Ejaz Ahmed Md Pa 405 North Clyde Morris Blvd Daytona Beach FL 32114-2730 Ph: (386) 235-8731 |
| NPI Number | 1245636042 |
|---|---|
| Provider Enumeration Date | 11/06/2014 |
| Last Update Date | 11/06/2014 |
| Medicare PECOS PAC ID | 5395056659 |
|---|---|
| Medicare Enrollment ID | O20150612002214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245636042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME95557 (Florida) | Primary |
| Provider Name | Ejaz Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003841081 PECOS PAC ID: 6507957586 Enrollment ID: I20080528000111 |
Primecare Acquisition Family Practice Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1890 Lpga Blvd Ste 130, Daytona Beach, FL 32117 Phone: 386-274-2212 Fax: 386-274-1508 | |
Alexandra Crossman Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-589-5741 | |
Kemshol Medical Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 984 Orange Ave, Daytona Beach, FL 32114 Phone: 386-226-3008 Fax: 386-226-3044 | |
Primary Healthcare Alliance Foundation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 Dunn Ave Ste B, Daytona Beach, FL 32114 Phone: 386-238-9527 Fax: 386-492-5059 | |
Volusia Hospitalists Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-676-0255 Fax: 386-676-2555 | |
Premier Infectious Disease Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 636-333-4500 | |
Crouch & Dunn Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 S Halifax Ave, Daytona Beach, FL 32118 Phone: 386-238-7408 Fax: 386-253-5518 |