URGENT CARE & FAMILY PRACTICE CENTER
NPI 1245636042
Family Medicine in Daytona Beach, FL

Active since November 06, 2014CLIA 10D2092755 · Waiver
405 NORTH CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 235-8731(386) 269-9555 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Urgent Care & Family Practice Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

URGENT CARE & FAMILY PRACTICE CENTER (NPI 1245636042) is a healthcare organization registered as a family medicine in Daytona Beach, Florida and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Ejaz Ahmed, President, as its authorized official.

NPPES Registry Identity

NPI1245636042
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDR EJAZ AHMED MD PA
Location Address405 NORTH CLYDE MORRIS BLVDDaytona Beach, FL 32114-2730
Mailing Address3848 Calliope AvePort Orange, FL 32129-6025 · (386) 235-8731 · Fax (386) 269-9555
Fax(386) 269-9555
Organization SubpartNo
Authorized OfficialEjaz AhmedPresident · (386) 235-8731
Enumeration DateNovember 6, 2014
NPI 1245636042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME95557
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
405 NORTH CLYDE MORRIS BLVD, Daytona Beach, FL 32114

Other Names 1

Doing Business AsUrgent Care & Family Practice Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2092755

Urgent Care & Family Practice Center · Daytona Beach, FL
Active · expires Mar 11, 2027
CLIA Number10D2092755
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorAhmed Ejaz
Laboratory Phone(386) 506-8555
Laboratory LocationUrgent Care & Family Practice Center405 N Clyde Morris Blvd, Daytona Beach, FL 32114
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Ejaz Ahmed MD PA's NPI number?

The NPI number for Dr Ejaz Ahmed MD PA is 1245636042. It was assigned to this organization in the NPPES registry on November 6, 2014. The provider is doing business as Urgent Care & Family Practice Center.

Where is Dr Ejaz Ahmed MD PA located?

Dr Ejaz Ahmed MD PA is located at 405 North Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 235-8731.

What is Dr Ejaz Ahmed MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dr Ejaz Ahmed MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2092755) is associated with this NPI, valid through March 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dr Ejaz Ahmed MD PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Dr Ejaz Ahmed MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dr Ejaz Ahmed MD PA was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.