Individual
JASIM AMIR ALIDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1673 MASON AVE STE 305, DAYTONA BEACH, FL 32117-5516
(386) 274-7118
Mailing address
1673 MASON AVE STE 305, DAYTONA BEACH, FL 32117-5516
(386) 274-7118
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
C197797
CA
2085R0202X
Diagnostic Radiology Physician
Primary
ME145778
FL
Other
Enumeration date
04/13/2015
Last updated
08/29/2024
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