Individual
JESSICA N BAHARI-KASHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7015 A C SKINNER PKWY, BUILDING 100, JACKSONVILLE, FL 32256-6932
(904) 516-3737
(904) 516-3738
Mailing address
7751 BELFORT PKWY STE 350, JACKSONVILLE, FL 32256-6951
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
A106637
CA
2085R0001X
Radiation Oncology Physician
Primary
ME 112015
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005951700
—
FL
01
—
14L6D
BCBSFL
FL
01
—
354874
AVMED
FL
Enumeration date
06/10/2008
Last updated
01/21/2025
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