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Organization
MOHAMMAD BASIL AMIN MD PA
Active
Organization
MOHAMMAD BASIL AMIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD B AMIN MD (OWNER)
(904) 446-6666
Entity
Organization
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 446-6666
Mailing address
PO BOX 2261, ORANGE PARK, FL 32067-2261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME72588
FL
Other
Enumeration date
11/12/2009
Last updated
02/08/2010
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