Provider Demographics
NPI:1154992204
Name:GLOBAL BEHAVIORAL MEDICINE
Entity type:Organization
Organization Name:GLOBAL BEHAVIORAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/M.D
Authorized Official - Prefix:
Authorized Official - First Name:JASMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-554-3285
Mailing Address - Street 1:6151 MIRAMAR PKWY STE 316
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3996
Mailing Address - Country:US
Mailing Address - Phone:954-603-5100
Mailing Address - Fax:954-526-8216
Practice Address - Street 1:6151 MIRAMAR PKWY STE 316
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3996
Practice Address - Country:US
Practice Address - Phone:954-603-5100
Practice Address - Fax:954-526-8216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105797701Medicaid