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Individual

DR. RAM ANIL PATHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
2017-00795
NC
208800000X
Urology Physician
Primary
ME120400
FL

Other

Enumeration date
04/23/2012
Last updated
03/17/2022
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