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Individual

DR. ROD GHASSEMZADEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
836 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8334
(904) 202-8550
(904) 393-7808
Mailing address
PO BOX 40767, JACKSONVILLE, FL 32203-0767
(904) 376-3707

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
A149517
CA
2080P0202X
Pediatric Cardiology Physician
MD468026
PA
2080P0203X
Pediatric Critical Care Medicine Physician
MD468026
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME141896
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/29/2011
Last updated
03/11/2022
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