Healthcare Provider Details

I. General information

NPI: 1073826368
Provider Name (Legal Business Name): JAWAD DAUD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2010
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 MAYO ST
HOLLYWOOD FL
33020-6542
US

IV. Provider business mailing address

1701 MAYO ST
HOLLYWOOD FL
33020-6542
US

V. Phone/Fax

Practice location:
  • Phone: 954-505-2200
  • Fax:
Mailing address:
  • Phone: 954-505-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberME115624
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME115624
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberME115624
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: