Individual
JOHNNY PARVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 W 8TH ST # C506, CLINICAL CENTER, 1ST FLOOR, JACKSONVILLE, FL 32209-6511
(904) 244-3837
(904) 244-4508
Mailing address
655 W 8TH ST # C506, CLINICAL CENTER, 1ST FLOOR, JACKSONVILLE, FL 32209-6511
(904) 244-3837
(904) 244-4508
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
TRN9211
FL
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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