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Individual

MAMOON UR RASHID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
805 WELLS RD, ORANGE PARK, FL 32073-2301
(904) 264-9797
(904) 264-4644
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-3385

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME141729
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118484400
FL
Enumeration date
08/07/2017
Last updated
06/20/2023
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