Ajd Medical LLC
Organization Active NPI Specialist · New Smyrna Beach, FL
NPI 1386887230 · NPPES record last updated Aug 12, 2010
Key facts
- NPI
- 1386887230
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- AJD MEDICAL LLC
- Practice address
- 612 Palmetto St
New Smyrna Beach, FL 32168-7327 - Phone
- (386) 423-5500
- Fax
- (386) 409-9762
- NPI assigned
- Apr 8, 2009
- Organization subpart
- No
Authorized official
- Name
- Antontio J Decarli, M.D.
- Title
- President
- Phone
- (386) 423-5500
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
612 Palmetto St
New Smyrna Beach, FL 32168-7327
Mailing address
612 Palmetto St
New Smyrna Beach, FL 32168-7327
Phone (386) 423-5500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000749600 | Medicaid | FL |
Other names
- Antonio J Decarli, M.D.
Other providers in New Smyrna Beach, FL
- Naveed Ahmad
- Saif Ahmed
- Rajesh K Ailani
- Ajd Medical Inc
- Ajd Medical Inc
- Ajd Medical LLC
- Akey Mobile Phlebotomy LLC
- Alba Court Development Group, LLC
- Jessica Albright
- Margaret M Aldridge
All providers in New Smyrna Beach, FL · Specialist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.