Individual provider · NPI-1

Waqas Ahmed, M.D., FACP

Internal Medicine, Nephrology · Jacksonville, FL

NPI number1700065091
StatusActive
Last updated in NPPESApr 17, 2025

Details

NPI
1700065091
Entity type
Individual (NPI-1)
Name
Waqas Ahmed
Credential
M.D., FACP
Sex
Male
Sole proprietor
No
Enumeration date
Nov 2, 2007
Certification date
Apr 17, 2025
Last updated
Apr 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, NephrologyME115941FLYes
207R00000X Internal MedicineME115941FL
208M00000X HospitalistME115941FL

Practice location

10175 Fortune Pkwy Unit 302
Jacksonville, FL 32256-6749

Phone 904-491-2160 · Fax 904-389-5332

Mailing address

11751 Wynnfield Lakes Cir
Jacksonville, FL 32246-4229

Phone 904-544-3827 · Fax 866-339-2911

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