Individual
JI FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
ME111702
FL
208600000X
Surgery Physician
Primary
ME111702
FL
Other
Enumeration date
06/22/2009
Last updated
10/24/2023
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