Individual
DR. REZA M. TABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3599 UNIVERSITY BLVD S, SUITE 1201, JACKSONVILLE, FL 32216-4252
(904) 399-4185
(904) 396-2628
Mailing address
3599 UNIVERSITY BLVD S, SUITE 1201, JACKSONVILLE, FL 32216-4252
(904) 399-4185
(904) 396-2628
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0047087
FL
Other
Enumeration date
08/25/2005
Last updated
01/10/2017
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