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Individual

ANISH Y AMIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5911 TIMUQUANA RD UNIT 300, JACKSONVILLE, FL 32210-7897
(904) 778-3000
(904) 771-2002
Mailing address
5911 TIMUQUANA RD UNIT 300, JACKSONVILLE, FL 32210-7897
(904) 251-5053
(904) 224-2002

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4111
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO4111
FL

Other

Enumeration date
05/05/2015
Last updated
04/17/2024
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