Individual
DR. MEHDI M MOEZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2370 MARKET DR, FLEMING ISLAND, FL 32003-4326
(094) 264-6201
(904) 264-6858
Mailing address
7015 AC SKINNER PARKWAY, SUITE 1, JACKSONVILLE, FL 32256
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME80061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107612B
—
GA
05
—
260425600
—
FL
01
—
281224
AVMED
FL
01
—
51687
BCBS
FL
01
—
7767303
AETNA
FL
Enumeration date
06/16/2005
Last updated
11/17/2014
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