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Individual

SADIR JUMAA ALRAWI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7751 BAYMEADOWS RD E, JACKSONVILLE, FL 32256-5834
(904) 562-4360
(904) 645-5856
Mailing address
2234 COLONIAL BLVD, ATTN: MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
227687
NY
208600000X
Surgery Physician
Primary
ME96950
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02374481
NY
05
069154200
FL
05
276592600
FL
Enumeration date
06/15/2005
Last updated
09/14/2010
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