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General NPI Number Information
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NPI Number | 1831215581
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Entity Type | Individual
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Provider Name | AHMED MOUSTAFA ELHADDAD M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 1210 S OLD DIXIE HWY
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City | JUPITER
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State | FL
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Zip | 33458-7205
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Country | US
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Telephone | 561-263-4429
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Fax |
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Provider Business Mailing Address
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Address Line | 8195 N MILITARY TRL
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City | WEST PALM BEACH
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State | FL
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Zip | 33410-6307
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Country | US
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Telephone | 561-842-2228
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | ME84299
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | ME84299
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME84299
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 0101264884
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License Number State | VA
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