MEDICARE: AJAY KUMAR PURI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	ME168468	FL

General Provider Information

NPI Number	:	1063919686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AJAY KUMAR PURI MD

Provider Business Mailing Address
First Line	:	1801 NW 9TH AVE STE 700
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1100
Country	:	US
Telephone Number	:	305-355-5808
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 NW 9TH AVE STE 700
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1100
Country	:	US
Telephone Number	:	305-355-5808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2018
Last Update Date	:	06/05/2025

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Directions to “ AJAY KUMAR PURI MD” Practice Location

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