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Organization

ALEJANDRO A RADI MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEJANDRO ANTONIO RADI M.D. (PRESIDENT)
(904) 398-7001
Entity
Organization

Contact information

Practice address
3599 UNIVERSITY BLVD S STE 8, JACKSONVILLE, FL 32216-4211
(907) 398-7001
(904) 398-0780
Mailing address
3599 UNIVERSITY BLVD S STE 8, JACKSONVILLE, FL 32216-4211
(907) 398-7001
(904) 398-0780

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036393600
FL
Enumeration date
02/26/2010
Last updated
07/08/2010
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