Taha, Ahmed

Taha, Ahmed is an sole proprietor health care provider with primary practice located at 6050 Babcock St Se Ste 2 , Palm Bay FL 32909-4203. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Taha, Ahmed can be contacted via phone (321) 725-9946.

Contact Information

Primary practice address
6050 Babcock St Se Ste 2 Palm Bay FL 32909-4203
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN21380 Florida

Profile Details

NPI number 1225411069
LBN Legal business name Taha, Ahmed
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2015
Last updated Apr 16th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225411069 NPPES
Florida MEDICAID 111814100

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