Individual
DR. IMAN NASERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6817 SOUTHPOINT PARKWAY, SUITE 502, JACKSONVILLE, FL 32216-6289
(904) 595-7475
(904) 595-7480
Mailing address
6817 SOUTHPOINT PARKWAY SUITE 502, JACKSONVILLE, FL 32216-6289
(904) 595-7475
(904) 595-7480
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
056201
GA
207Y00000X
Otolaryngology Physician
Primary
ME105498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013083-00
—
FL
05
—
478745301A
—
GA
01
—
P01368157
RR MEDICARE
FL
Enumeration date
12/27/2007
Last updated
03/01/2018
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