Individual
RAMEZ TAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10460 PHILIPS HWY, JACKSONVILLE, FL 32256
(904) 472-5678
Mailing address
10460 PHILIPS HWY, JACKSONVILLE, FL 32256
(904) 472-5678
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-4210
AR
207P00000X
Emergency Medicine Physician
Primary
ME101043
FL
207Q00000X
Family Medicine Physician
E-4210
AR
207Q00000X
Family Medicine Physician
ME101043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157108001
—
AR
01
—
1730169863
BLUE CROSS BLUE SHIELD
AR
01
—
5N010
BCBS
AR
01
—
P00275010
RAILROAD
—
Enumeration date
01/17/2006
Last updated
04/27/2026
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