Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME120199 | FL |
Y | 2080N0001X | Neonatal-Perinatal Doctor | CDR.0001012 | CO |
NPI | 1003231267 |
---|---|
Provider Name | Aimen Elmehdi Ben Ayad |
First Address | Saint Petersburg, FL 33701-4804 |
Second Address | Saint Petersburg, FL 33701-4804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2014 |
Last Update Date | 27/04/2021 |