Individual
KEIVAN HOSSEINNEJAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 N CLYDE MORRIS BLVD STE 10, DAYTONA BEACH, FL 32114-2733
(386) 676-7175
(386) 676-7134
Mailing address
330 N CLYDE MORRIS BLVD STE 10, DAYTONA BEACH, FL 32114-2733
(386) 676-7175
(386) 676-7134
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
ME164062
FL
Other
Enumeration date
06/11/2019
Last updated
03/03/2025
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