Individual
MRS. ABIGAIL LANE HAJIVANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
800 PRUDENTIAL DR APT 5310, JACKSONVILLE, FL 32207-8202
(904) 697-3600
Mailing address
17 MARTHA CT, ST AUGUSTINE, FL 32092-3339
(904) 652-4861
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA856
FL
Other
Enumeration date
10/18/2023
Last updated
06/30/2026
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