Organization
REZA M TABA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA MOHAMMAD TABA M.D. (PHYSICIAN)
(904) 399-4185
Entity
Organization
Contact information
Practice address
3599 UNIVERSITY BLVD S, SUITE # 1201, JACKSONVILLE, FL 32216-4252
(904) 399-4185
(904) 396-2628
Mailing address
3599 UNIVERSITY BLVD S, SUITE # 1201, JACKSONVILLE, FL 32216-4252
(904) 399-4185
(904) 396-2628
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME0047087
FL
Other
Enumeration date
08/29/2008
Last updated
09/08/2008
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