Jax Psychiatry LLC
NPI #1124538525 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1124538525
- Entity Type
- Organization
- Organization Name
- Jax Psychiatry LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Oct 11, 2017
- Last Updated
- Oct 12, 2021
Practice Location
- Address
- 145 HILDEN RD STE 108
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32081-8401
- Phone
- (904) 834-1242
Authorized Official
- Name
- RIAZ AHMED, M.D.
- Title
- M.D./ PRESIDENT
- Phone
- (904) 834-8042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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