Individual
JASURBEK R KADIRBEKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
36 WHITTINGHAM LN, PALM COAST, FL 32164-7206
(386) 237-2268
Mailing address
36 WHITTINGHAM LN, PALM COAST, FL 32164-7206
(386) 237-2268
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
13-192
FL
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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