SALMA MAKHOUL-AHWACH


Address: 3 Shircliff Way Ste 630, Jacksonville, FL 32204-4776
Phone: 3166899989

SALMA MAKHOUL-AHWACH (NPI# 1467683524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467683524
Entity Type Individual
Full Name SALMA MAKHOUL-AHWACH
Credential MD
Practice Address 3 Shircliff Way Ste 630
Jacksonville
FL 32204-4776
Mailing Address Po Box 8035
Wichita
KS 67208-0035
Practice Telephone 3166899989
Practice Fax Number 3166899972
Mailing Telephone 3166899135
Enumeration Date 2009-08-06
Last Update Date 2020-06-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
0436928 KS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE 003719322 01
KS 201093370A 05
RAILROAD MEDICARE P01570860 01

Office Location

Street Address 3 SHIRCLIFF WAY STE 630
City JACKSONVILLE
State FL
Zip Code 32204-4776

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336673003 Katherine Arlene Jewell Nurse Practitioner 3 Shircliff Way Ste 630, Jacksonville, FL 32204-4776 2017-04-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437719853 North Florida Surgeons, Pa Orthopaedic Surgery 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 2019-06-18
1770043531 Manuel Viado Rosas Physical Therapist Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 2019-03-20
1255805172 Tracie Nickole Singh Marriage & Family Therapist 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 2019-01-14
1427548544 Bold City Therapy and Wellness LLC Clinic/Center 2054 Park Street, Jacksonville, FL 32204 2018-05-14
1356883078 Lcn Enterprise, LLC Case Manager/Care Coordinator 1225 W Beaver St Ste 106, Jacksonville, FL 32204 2016-11-11
1073065082 Prosser and Prosser LLC Non-emergency Medical Transport (VAN) 2120 Ernest St, Jacksonville, FL 32204 2016-10-26
1336529817 Nader Daoud Internal Medicine 1 Shircliffway, Jacksonville, FL 32204 2015-06-01
1194119214 Benjamin James Dionne Internal Medicine 2 Shircliff Way Ste 400, Jacksonville, FL 32204 2015-03-26
1598187932 Jamara Stephens Counselor 1225 W Beaver St Ste 205, Jacksonville, FL 32204 2014-01-18
1154743961 Kathleen Jasper Nurse Anesthetist, Certified Registered 2165 Herschel Street, Jacksonville, FL 32204 2014-01-14
Find all providers in zip 32204

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013402783 Thyroid Diabetes Endocrinology and Wellness Inc Internal Medicine 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216-3685 2018-06-26
1013461193 Diabetes Management Partners LLC Internal Medicine 4190 Belfort Rd Ste 352, Jacksonville, FL 32216-1407 2016-08-07
1679910863 Poonam Kalidas Kapadia Internal Medicine 653 W 8th St # L-14, Jacksonville, FL 32209-6511 2013-05-28
1679896401 Robert Miller Md Pa Internal Medicine 1547 San Marco Blvd, Jacksonville, FL 32207-2905 2010-03-08
1811134216 Rafael Eligio Gomez Jr. Internal Medicine 1222 Molokai Rd, Jacksonville, FL 32216-3276 2009-01-07
1134328719 Ramadan Hammoud Internal Medicine 9745 Touchton Rd Unit 1705, Jacksonville, FL 32246-9200 2007-07-13
1255541512 Eric Charles Puestow Internal Medicine 7746 Miller Oaks Dr W, Jacksonville, FL 32217-3512 2007-05-23
1952387912 Gunjan Y Gandhi Internal Medicine 653 W 8th St, Jacksonville, FL 32209-6511 2005-12-21
1821071903 Melissa Anne Morgan Internal Medicine 11945 San Jose Blvd Ste 301, Credentialing Department, Jacksonville, FL 32223-1627 2005-11-22
1972067528 First Choice Endocrinology LLC Internal Medicine 8837 Goodbys Executive Dr, Jacksonville, FL 32217-4605 2019-01-29
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32204

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Dataset Information

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.

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