Healthcare Provider Details

I. General information

NPI: 1649381146
Provider Name (Legal Business Name): AHMET CUNEYT OZAKTAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7421 N UNIVERSITY DR STE 212
TAMARAC FL
33321-6102
US

IV. Provider business mailing address

7421 N UNIVERSITY DR STE 212
TAMARAC FL
33321-6102
US

V. Phone/Fax

Practice location:
  • Phone: 305-974-5533
  • Fax:
Mailing address:
  • Phone: 305-974-5533
  • Fax: 305-974-5553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number12671
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME97587
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: