Dr Ajmal Aziz Sultan, MD | |
836 Century Medical Dr, Titusville, FL 32796-2141 | |
(321) 383-8092 | |
(321) 383-1043 |
Full Name | Dr Ajmal Aziz Sultan |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
Location | 836 Century Medical Dr, Titusville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245432459 | NPI | - | NPPES |
1495H | Other | FL | BCBS FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME107032 (Florida) | Primary |
Entity Name | Ajmal Sultan Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912370461 PECOS PAC ID: 5193028173 Enrollment ID: O20160126000352 |
Mailing Address | Practice Location Address |
---|---|
Dr Ajmal Aziz Sultan, MD 8043 Spyglass Hill Rd, Melbourne, FL 32940-8563 Ph: (321) 255-6670 | Dr Ajmal Aziz Sultan, MD 836 Century Medical Dr, Titusville, FL 32796-2141 Ph: (321) 383-8092 |
Melissa Saint Jean, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1705 Jess Parrish Ct, Titusville, FL 32796 Phone: 321-269-5720 | |
Katrina Lee Senn, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2805 Cheney Hwy, Titusville, FL 32780 Phone: 407-808-8069 | |
Vanessa Gallegos-kearin, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1250-b Grumman Place, Titusville, FL 32780 Phone: 321-269-4240 |