Individual
MITRA ABDOLLAHI NEISANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(215) 866-7133
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(215) 866-7133
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
TRN41772
FL
Other
Enumeration date
04/01/2025
Last updated
07/02/2025
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