Individual
DR. ANGELIKA LAUBMEIER KHARRAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207-8205
(904) 348-0974
(904) 348-5627
Mailing address
PO BOX 44004, JACKSONVILLE, FL 32231-4004
(904) 202-1032
(904) 348-5627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME94872
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239783351A
—
GA
05
—
2757061-00
—
FL
01
—
K1951A
BPC GROUP PTAN
FL
01
—
P00341449
RAILROAD MEDICARE
FL
Enumeration date
05/31/2006
Last updated
11/18/2015
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