Individual
JINOUS SAREMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-4216
(904) 244-4060
Mailing address
PO BOX 44008, PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-4060
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25017
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME113860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126648A
—
GA
05
—
006328600
—
FL
01
—
14M01
BCBSFL
FL
Enumeration date
02/09/2007
Last updated
09/24/2012
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