IndividualActive
Keivan Hosseinnejad
NPI 1417516501 · Addiction Medicine (Internal Medicine) Physician · Daytona Beach, FL
Provider details
- NPI number
- 1417516501
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- ME164062 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
330 N Clyde Morris Blvd Ste 10
Daytona Beach, FL 32114-2733
Phone: (386) 676-7175
Fax: (386) 676-7134
Approximate (ZIP-level) locationGet directions
Mailing address
330 N Clyde Morris Blvd Ste 10
Daytona Beach, FL 32114-2733
Registry dates
- Enumerated
- 2019-06-11
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.