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Individual

ADLI J KARADSHEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6100 MINTON RD NW STE 104, PALM BAY, FL 32907-1900
(321) 724-1172
(321) 984-1695
Mailing address
1344 S APOLLO BLVD STE 406, MELBOURNE, FL 32901-3185
(321) 253-4032
(321) 802-5599

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME69302
FL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
ME69302
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122490300
FL
01
4301055026
STATE OF MICHIGAN BOARD OF MEDICINE
MI
01
K0802
MEDICARE GROUP
FL
01
ME69302
MEDICAL LICENSE NUMBER
FL
Enumeration date
01/03/2007
Last updated
11/06/2024
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