Individual
MOHSIN RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5156
(904) 639-2000
(904) 639-2015
Mailing address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5156
(904) 639-2000
(904) 639-2015
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C1-0025558
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
04/10/2023
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