Individual
ABDOL A MIRSAJADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 S PATRICK DR, SUITE C, SATELLITE BEACH, FL 32937-3963
(321) 779-9838
(321) 779-4502
Mailing address
1275 S PATRICK DR, SUITE C, SATELLITE BEACH, FL 32937-3963
(321) 779-9838
(321) 779-4502
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 40362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15843
BCBS
FL
Enumeration date
04/26/2006
Last updated
07/08/2007
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