Individual
AMIN NIMA AGHAEBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
836 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 32207-8340
(904) 388-6518
(904) 384-1005
Mailing address
PO BOX 746647, ATLANTA, GA 30374-6647
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD448012
PA
2084N0400X
Neurology Physician
ME127798
FL
2084V0102X
Vascular Neurology Physician
MD448012
PA
2084V0102X
Vascular Neurology Physician
Primary
ME127798
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017332100
—
FL
01
—
P01662142
RR MEDICARE
FL
Enumeration date
04/08/2009
Last updated
02/18/2026
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