Individual
DR. ROHAN ANIL DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 E 21ST ST, JACKSONVILLE, FL 32206-2401
(904) 359-9696
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME73857
FL
Other
Enumeration date
05/15/2006
Last updated
09/03/2007
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