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NPI 1639209273 · live from the CMS NPI Registry

Sophia Ahmed, M.D.

Psychiatry & Neurology, Neurology in Port St Lucie, FL. National Provider Identifier 1639209273, active.

NPI record

NPI1639209273 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology 2084N0400X
Practice location1700 Se Hillmoor Dr, Port St Lucie, FL 34952
Practice phone772-335-9600
EnumeratedMarch 6, 2007
Last updatedFebruary 10, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology2084N0400X01059127 (IN)
Psychiatry & Neurology, Neurology primary2084N0400XME117243 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.