Individual provider · NPI-1

Dr. Ahmed Elmashad, MD

Psychiatry & Neurology, Vascular Neurology · Port St Lucie, FL

NPI number1437610664
StatusActive
Last updated in NPPESJul 22, 2026

Details

NPI
1437610664
Entity type
Individual (NPI-1)
Name
Dr. Ahmed Elmashad
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 29, 2019
Certification date
Jul 22, 2026
Last updated
Jul 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084V0102X Psychiatry & Neurology, Vascular Neurology179916FLYes
2085N0700X 179916FL
2084N0400X Psychiatry & Neurology, Neurology179916FL

Practice location

10080 Sw Innovation Way
Port St Lucie, FL 34987-2127

Phone 772-223-5945

Mailing address

10080 Sw Innovation Way
Port Saint Lucie, FL 34987-2127

Phone 772-332-7002

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