Provider Demographics
NPI:1508406836
Name:DAUD MEDICAL ASSOCIATES, LLC.
Entity Type:Organization
Organization Name:DAUD MEDICAL ASSOCIATES, LLC.
Other - Org Name:FREEDOM NOW, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAWAD
Authorized Official - Middle Name:
Authorized Official - Last Name:DAUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-819-0620
Mailing Address - Street 1:14000 S MILITARY TRL STE 104
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-2600
Mailing Address - Country:US
Mailing Address - Phone:561-819-0620
Mailing Address - Fax:561-501-5262
Practice Address - Street 1:236 SE 23RD AVE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7620
Practice Address - Country:US
Practice Address - Phone:561-819-0620
Practice Address - Fax:561-501-5262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-15
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty