Ajd Medical LLC
Organization Active NPI Gastroenterology Physician · New Smyrna Beach, FL
NPI 1629314927 · NPPES record last updated Jan 23, 2021
Key facts
- NPI
- 1629314927
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 82935 (FL)
- Legal business name
- AJD MEDICAL LLC
- Practice address
- 1722 State Road 44
New Smyrna Beach, FL 32168-8339 - Phone
- (386) 427-0390
- Fax
- (386) 427-0394
- NPI assigned
- Dec 14, 2012
- Organization subpart
- No
Authorized official
- Name
- Antonio Decarli, M.D.
- Title
- Ceo
- Phone
- (386) 427-0390
National Provider Directory
Locations
1722 State Road 44
New Smyrna Beach, FL 32168
Phone (386) 427-0390
823 Dunlawton Ave
Ste E
Port Orange, FL 32127
Phone (386) 763-9413
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | 82935 | FL | Yes |
Addresses
Primary practice location
1722 State Road 44
New Smyrna Beach, FL 32168-8339
Mailing address
PO Box 2616
New Smyrna Beach, FL 32170-2616
Phone (386) 427-0390
Other providers in New Smyrna Beach, FL
- 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
- Catherine Allbritton
All providers in New Smyrna Beach, FL · Gastroenterology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2021. 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.