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Individual

POUYA ALEXANDER AMELI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.S.

Contact information

Practice address
UF NEUROLOGY MCKNIGHT BRAIN INSTITUTE 1149 NEWELL DRIVE, GAINESVILLE, FL 32610-0001
(352) 273-5550
Mailing address
PO BOX 100236, GAINESVILLE, FL 32610-0236
(352) 273-5550

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
ME145264
FL
2084N0400X
Neurology Physician
079928
GA
2084N0400X
Neurology Physician
ME145264
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
079928
GEORGIA LICENSE
GA
05
1760801815
GA
01
ME145264
FLORIDA LICENSE
FL
Enumeration date
04/15/2014
Last updated
03/09/2023
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