Basic Information
| Provider Information | |||||||||
| NPI: | 1619041332 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AYADI | ||||||||
| FirstName: | JAUVID | ||||||||
| MiddleName: | BEHRAM | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6149 CHANCELLOR DR STE 2780 | ||||||||
| Address2: | |||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328095633 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4073522542 | ||||||||
| FaxNumber: | 4073522547 | ||||||||
| Practice Location | |||||||||
| Address1: | 7512 DR PHILLIPS BLVD # 50-34 | ||||||||
| Address2: | |||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328195131 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4075436306 | ||||||||
| FaxNumber: | 8447189979 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/17/2006 | ||||||||
| LastUpdateDate: | 10/11/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME 73774 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | ME73774 | FL | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 254980800 | 05 | FL | MEDICAID |