Individual
DR. AMIR MOHAMMAD EMTIAZJOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2302
(352) 273-8737
(352) 273-9154
Mailing address
PO BOX 100225, GAINESVILLE, FL 32610-0225
(352) 273-8737
(352) 273-9154
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A109621
CA
207R00000X
Internal Medicine Physician
ME119899
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME119899
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME119899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012217500
—
FL
Enumeration date
02/01/2010
Last updated
02/16/2022
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