Individual
DR. DINESH PUBBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 UNIVERSITY BLVD S STE 221, JACKSONVILLE, FL 32216-4392
(904) 423-0010
(904) 423-0012
Mailing address
3901 UNIVERSITY BLVD S STE 221, JACKSONVILLE, FL 32216-4392
(904) 423-0010
(904) 423-0012
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME 102037
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME 102037
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000725100
—
FL
Enumeration date
04/06/2006
Last updated
04/17/2018
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