DR. SOPHIA AHMED (NPI# 1639209273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639209273 |
| Entity Type | Individual |
| Full Name | DR. SOPHIA AHMED |
| Credential | M.D. |
| Practice Address |
1700 Se Hillmoor Dr Port St Lucie FL 34952-7539 |
| Practice Telephone | 7723359600 |
| Practice Fax Number | 7723357972 |
| Mailing Telephone | 7723359600 |
| Mailing Fax Number | 7723357972 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2016-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME117243 | FL | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01059127 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200493960 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109914 | Sophia Ahmed | Nurse Practitioner | 303 S Highway 78 Ste 106, Wylie, TX 75098-3915 | 2019-11-20 |
| 1205332749 | Sophia Ahmed | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2018-04-03 |
| Street Address |
1700 SE HILLMOOR DR |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-7539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619969573 | William A Stolzer | Orthopaedic Surgery | 1700 Se Hillmoor Dr, Suite 500, Port St Lucie, FL 34952-7536 | 2005-08-17 |
| 1639722176 | Naomi Blake | Counselor | 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 | 2019-07-23 |
| 1255864468 | Phillip Saeho Son | Student in an Organized Health Care Education/Training Program | 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 | 2017-04-05 |
| 1245763424 | Abby Regan | Student in an Organized Health Care Education/Training Program | 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 | 2017-04-05 |
| 1619330537 | Hemal Patel | Family Medicine | 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 | 2016-03-29 |
| 1194110304 | Mariana Giron | Family Medicine | 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 | 2015-04-03 |
| 1699168864 | Emily Sou | Pediatrics | 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 | 2015-03-12 |
| 1710395835 | Natasha Williamson Jones | Nurse Practitioner | 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 | 2014-08-01 |
| 1902230477 | Cindy Yuen | Family Medicine | 1700 Se Hillmoor Dr, Port St Lucie, FL 34952 | 2013-09-02 |
| 1285973107 | William Winston Leonard Peterson IIi | Chiropractor | 1700 Se Hillmoor Dr, Ste 502, Port St Lucie, FL 34952-7566 | 2013-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487817904 | Edward F Kellenberger | Psychiatry & Neurology | 10050 Sw Innovation Way Ste 102, Port St Lucie, FL 34987-2117 | 2008-07-03 |
| 1093820417 | Tagrid Adili | Psychiatry & Neurology | 463 Nw Prima Vista Blvd, Port St Lucie, FL 34983 | 2006-08-19 |
| 1508833039 | Jose Antonio Arbona | Psychiatry & Neurology | 1889 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5530 | 2006-03-03 |
| 1508868779 | Jose Jorge Pozo | Psychiatry & Neurology | 240 Nw Peacock Blvd, Suite 101, Port St Lucie, FL 34986-2274 | 2005-06-01 |
| 1639425986 | Kathie Kowalczyk | Psychiatry & Neurology | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2012-07-24 |
| 1508005273 | St. Cloud Neurology, P.a. | Psychiatry & Neurology | 451 Sw Bethany Dr, Suite 101, Port St Lucie, FL 34986-1964 | 2009-02-19 |
| 1346439114 | Dr Jose J Pozo Pa | Psychiatry & Neurology | 240 Nw Peacock Blvd, Suite 101, Port St Lucie, FL 34986-2274 | 2007-10-17 |
| 1376562918 | Tracey E Cerbone | Psychiatry & Neurology | 1651 Se Tiffany Ave, Ste 102, Port St Lucie, FL 34952-7564 | 2006-07-18 |
| 1568418325 | Luz G Vazquez | Psychiatry & Neurology | 1701 Se Hillmoor Dr, Ste D16, Port St Lucie, FL 34952-7541 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820087 | Lewis Leckey Hamilton | Psychiatry & Neurology | 471 Palm Ave, Boca Grande, FL 33921-1157 | 2020-08-04 |
| 1588282776 | Magic Medical Specialties Corp | Psychiatry & Neurology | 9421 S Orange Blossom Trl # 19, Orlando, FL 32837-8320 | 2020-07-14 |
| 1235757899 | Miami Headache Center, Pllc | Psychiatry & Neurology | 5415 Collins Ave Apt Phe, Miami Beach, FL 33140-2575 | 2020-07-10 |
| 1982220307 | Thornley Health, LLC | Psychiatry & Neurology | 4014 Sawyer Rd, Sarasota, FL 34233 | 2020-06-22 |
| 1104458462 | Neuro Synchrony LLC | Psychiatry & Neurology | 1745 E Hwy 50 Ste B1, Clermont, FL 34711-5190 | 2020-02-05 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1164995528 | Rayyan Neurological Association LLC | Psychiatry & Neurology | 10022 Crystalline Ct, Orlando, FL 32836-6024 | 2019-01-09 |
| 1326511007 | Parkinsons & Memory Center Pa | Psychiatry & Neurology | 919 N Osprey Ave # B, Sarasota, FL 34236-4143 | 2019-01-06 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.