Individual
ALI M SADEGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G43327
CA
208600000X
Surgery Physician
ME98058
FL
208600000X
Surgery Physician
TEMP
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G43327
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME98058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279897200
—
FL
Enumeration date
09/11/2007
Last updated
12/20/2019
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