| Organization Name: | ASHFAQ KUDIA, M.D., P.A. |
| NPI Number: | 1265675219 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FURRIN KUDIA (OFFICE MANAGER) |
| Mailing Address: | 1301 Plantation Island Dr S Suite 302a Saint Augustine |
| State: | FL US |
| Postal Code: | 320803108 |
| Phone Number: | 9044619330 |
| Fax Number: | 9044619331 |
| NPI Enumeration Date: | 04/07/2009 |
| NPI Last Update Date: | 07/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | ME0068850 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |