| Ajd Medical Llc | |
|
1722 State Road 44 New Smyrna Beach FL 32168-8339 | |
| (386) 427-0390 | |
| (386) 427-0394 |
| Full Name | Ajd Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1722 State Road 44, New Smyrna Beach, Florida |
| Authorized Official Name and Position | Antonio Decarli (CEO) |
| Authorized Official Contact | 3864270390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ajd Medical Llc Po Box 2616 New Smyrna Beach FL 32170-2616 Ph: (386) 427-0390 | Ajd Medical Llc 1722 State Road 44 New Smyrna Beach FL 32168-8339 Ph: (386) 427-0390 |
| NPI Number | 1629314927 |
|---|---|
| Provider Enumeration Date | 12/14/2012 |
| Last Update Date | 01/23/2021 |
| Medicare PECOS PAC ID | 9830247147 |
|---|---|
| Medicare Enrollment ID | O20090424000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629314927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 82935 (Florida) | Primary |
| Provider Name | Antonio J Decarli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376644328 PECOS PAC ID: 3678477569 Enrollment ID: I20031121000717 |
| Provider Name | Brittany Nicole Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275948754 PECOS PAC ID: 8820310378 Enrollment ID: I20141211001176 |
Causeway Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1720 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-427-8008 Fax: 386-402-4309 | |
Metcare Of New Smyrna Beach Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1722 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-428-3241 Fax: 986-427-8440 | |
Russell E. Perry, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Palmetto St Ste A, New Smyrna Beach, FL 32168 Phone: 386-423-1212 Fax: 386-423-5730 | |
Mark K Nagrani Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 612 Palmetto St, New Smyrna Beach, FL 32168 Phone: 386-423-5500 Fax: 800-813-9164 | |
Idc Of Volusia, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Palmetto St, New Smyrna Beach, FL 32168 Phone: 386-410-4981 Fax: 386-410-4982 | |
Better Life Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1704 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-402-4147 | |
Quick Care Medical Treatment Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 S Dixie Fwy, New Smyrna Beach, FL 32168 Phone: 386-426-8600 Fax: 386-426-6090 |