Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME92550 | FL |
N | 111NI0900X | Internist | ME92550 | FL |
Y | 207RN0300X | Nephrologist | ME92550 | FL |
NPI | 1033182761 |
---|---|
Provider Name | Dr. Asad Ayub |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Jacksonville, FL 32224-1865 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 06/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
274586100 | (05) | FL |
I42293 | (02) | FL |