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Organization
MINA ZAHEDI INC
Active
Organization
MINA ZAHEDI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINA ZAHEDI M D (OWNER)
(386) 676-4410
Entity
Organization
Contact information
Practice address
1050 W GRANADA BLVD, SUITE 2, ORMOND BEACH, FL 32174-8154
(386) 676-4410
(386) 676-4490
Mailing address
1050 W GRANADA BLVD, SUITE 2, ORMOND BEACH, FL 32174-8154
(386) 676-4410
(386) 676-4490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME79263
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03248
BLUE CROSS BLUE SHIELD
FL
01
—
110231155
MEDICARE RAILROAD
FL
01
—
1649466731
GROUP NPI
FL
01
—
1982666814
INDIVIDUAL NPI
FL
01
—
K2990
MEDICARE GROUP PIN
FL
Enumeration date
09/21/2007
Last updated
07/12/2010
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