Provider Demographics
NPI:1659374635
Name:JAVEED, NAJAM (MD)
Entity Type:Individual
Prefix:DR
First Name:NAJAM
Middle Name:
Last Name:JAVEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4740 MILE STRETCH DR
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34690-4331
Mailing Address - Country:US
Mailing Address - Phone:727-943-5200
Mailing Address - Fax:727-943-5201
Practice Address - Street 1:4740 MILE STRETCH DR
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34690-4331
Practice Address - Country:US
Practice Address - Phone:727-943-5200
Practice Address - Fax:727-943-5201
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2013-12-29
Deactivation Date:2006-03-31
Deactivation Code:
Reactivation Date:2006-04-03
Provider Licenses
StateLicense IDTaxonomies
FLME0076911207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL260492200Medicaid
FLG81738Medicare UPIN
FL260492200Medicaid