Individual
DR. GASIM MOHAMED ELSHAZALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 625-8365
Mailing address
11744 GLACIER BAY DR, JACKSONVILLE, FL 32256-2988
(904) 625-8365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57012674
OH
207R00000X
Internal Medicine Physician
Primary
ME106077
FL
Other
Enumeration date
03/30/2007
Last updated
04/09/2021
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