Individual
DR. ALIREZA BOZORGMANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1673 MASON AVE, SUITE 305, DAYTONA BEACH, FL 32117-5515
(386) 274-7118
(386) 274-6173
Mailing address
1673 MASON AVE STE 305, DAYTONA BEACH, FL 32117-5516
(386) 274-7118
(386) 274-6173
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
57939
GA
2085R0204X
Vascular & Interventional Radiology Physician
57939
GA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME96728
FL
Other
Enumeration date
10/10/2006
Last updated
11/06/2025
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