Individual provider · NPI-1

Dr. Sophia Ahmed, M.D.

Psychiatry & Neurology, Neurology · Port St Lucie, FL

NPI number1639209273
StatusActive
Last updated in NPPESFeb 10, 2022

Details

NPI
1639209273
Entity type
Individual (NPI-1)
Name
Dr. Sophia Ahmed
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Mar 6, 2007
Last updated
Feb 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyME117243FLYes
2084N0400X Psychiatry & Neurology, Neurology01059127IN

Practice location

1700 Se Hillmoor Dr
Port St Lucie, FL 34952-7539

Phone 772-335-9600 · Fax 772-335-7972

Mailing address

1700 Se Hillmoor Dr
Port St Lucie, FL 34952-7539

Phone 772-335-9600 · Fax 772-335-7972

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