Healthcare Provider Details

I. General information

NPI: 1336347871
Provider Name (Legal Business Name): AHMED HOWEEDY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 06/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 S CYPRESS RD
POMPANO BEACH FL
33060-7133
US

IV. Provider business mailing address

3101 PORT ROYALE BLVD APT 1125
FT LAUDERDALE FL
33308-7810
US

V. Phone/Fax

Practice location:
  • Phone: 954-781-7248
  • Fax:
Mailing address:
  • Phone: 954-294-5886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME104204
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: