Organization
AMIR H. FATEMI, M.D., IP.L
Active
Other names
Amir H. Fatemi, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIR H FATEMI M.D. (OWNER)
(904) 737-9393
Entity
Organization
Contact information
Practice address
6934 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32217-2820
(904) 737-3939
(904) 737-9263
Mailing address
6934 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32217-2820
(904) 737-3939
(904) 737-9263
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0034353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0380130-00
—
FL
01
—
1104805969
INDIVIDUAL NPI
FL
Enumeration date
11/09/2011
Last updated
06/20/2018
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