Individual
ARASTOO T NABIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6816 SOUTHPOINT PKWY STE 201, JACKSONVILLE, FL 32216-1701
(904) 281-1164
(904) 281-7732
Mailing address
PO BOX 17809, JACKSONVILLE, FL 32245-7809
(904) 723-5665
(904) 338-0951
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME60706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130020700
RAILROAD MEDICARE
FL
01
—
1730176348
NPI
FL
05
—
250641600
—
FL
Enumeration date
09/29/2005
Last updated
01/06/2011
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