Individual
YAZAN RADAIDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
580 W 8TH ST FL TOWERI9, JACKSONVILLE, FL 32209-6533
(904) 244-9092
Mailing address
580 W 8TH ST FL TOWER19, JACKSONVILLE, FL 32209-6533
(904) 244-9092
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
165048
FL
Other
Enumeration date
06/22/2015
Last updated
11/06/2023
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