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Individual

DR. JAMIL H KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1528 SUNRISE PLAZA DR, SUITE ONE, CLERMONT, FL 34714-6205
(352) 394-7728
(352) 394-6369
Mailing address
1528 SUNRISE PLAZA DR, SUITE ONE, CLERMONT, FL 34714-6205
(352) 394-7728
(352) 394-6369

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME76198
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
255361900
FL
Enumeration date
10/27/2006
Last updated
06/21/2011
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