Individual
JARAAD DATTADEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-4075
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-4075
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME150629
FL
Other
Enumeration date
04/07/2018
Last updated
06/07/2024
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