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Individual

MS. MERYAM JAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
655 WEST 8TH STREET, JACKSONVILLE, FL 32209
(904) 633-4199
(904) 633-4188
Mailing address
655 WEST 8TH STREET, JACKSONVILLE, FL 32209
(904) 633-4199
(904) 633-4188

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME154565
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/04/2019
Last updated
06/30/2022
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