Individual
SHAYAN BENGALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204
(904) 387-4030
Mailing address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4748
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
136794
FL
207L00000X
Anesthesiology Physician
Primary
ME136794
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
01/12/2026
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