Individual
DR. ABDOLREZA MOHAMMADIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1536 N.JEFFERSON STREET, VA OUTPATIENT CLINIC, JACKSONVILLE, FL 32209-0000
(904) 475-5800
(904) 301-2502
Mailing address
1536 NORTH JEFFERSON STREET, VA OUTPATIENT CLINIC, JACKSONVILLE, FL 32209
(904) 475-5800
(904) 301-2502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME102692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386801116
FAMILY PRACTICE AND GERIATRIC MEDICINE
FL
Enumeration date
05/20/2008
Last updated
09/10/2025
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