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Organization

GANIM MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NADER GANIM (MD)
(212) 444-2645
Entity
Organization

Contact information

Practice address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(212) 444-2645
(212) 444-2645
Mailing address
1623 CHARON RD, JACKSONVILLE, FL 32205-9203

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
02/26/2026
Last updated
02/26/2026
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