Provider Demographics
NPI:1275273245
Name:AJAMI, GAVIN (MD, MPH)
Entity type:Individual
Prefix:
First Name:GAVIN
Middle Name:
Last Name:AJAMI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:555 NORTHEAST 15TH STREET
Mailing Address - Street 2:SUITE 35C
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132
Mailing Address - Country:US
Mailing Address - Phone:549-562-2351
Mailing Address - Fax:
Practice Address - Street 1:555 NORTHEAST 15TH STREET
Practice Address - Street 2:UNIT 35C
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132
Practice Address - Country:US
Practice Address - Phone:954-938-3359
Practice Address - Fax:954-492-5790
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL35800202D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine