Individual
IMAD JANDALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 MARINER BLVD, SPRING HILL, FL 34609-5692
(352) 688-0100
(352) 688-1003
Mailing address
225 MARINER BLVD, SPRING HILL, FL 34609-5692
(352) 688-0100
(352) 688-1003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME52919
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049244200
—
FL
Enumeration date
03/23/2006
Last updated
05/16/2019
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