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Individual

DR. ALI REZA AFSHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4565 US HIGHWAY 17 STE 106, FLEMING ISLAND, FL 32003-4822
(904) 269-4559
(904) 269-4597
Mailing address
425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
(904) 745-3618
(904) 722-4271

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301111119
MI
207Q00000X
Family Medicine Physician
Primary
ME129267
FL

Other

Enumeration date
07/09/2011
Last updated
05/16/2024
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