Individual
DR. HUMAYUN JAMIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 N CLYDE MORRIS BLVD STE 320, DAYTONA BEACH, FL 32114-2756
(386) 255-5331
(386) 254-8945
Mailing address
108 RIVERSIDE DR, ORMOND BEACH, FL 32176-6502
(386) 255-5331
(386) 255-3723
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0058984
FL
207RI0011X
Interventional Cardiology Physician
ME00058984
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052396800
—
FL
01
—
ME0058984
MEDICAL LICENSE
FL
Enumeration date
02/14/2006
Last updated
03/13/2013
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