Individual
DR. TAJVAR H GOUDARZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6271 SAINT AUGUSTINE RD, UFJP SAN JOSE PEDS AND ADOLESCENT CENTER, JACKSONVILLE, FL 32217-2523
(904) 633-0460
(904) 633-0461
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME29654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036871700
—
FL
Enumeration date
05/16/2006
Last updated
10/26/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us