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Individual

ABBAS SHARIAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1361 13TH AVE S, STE #140, JACKSONVILLE BEACH, FL 32250
(904) 246-9464
(904) 246-2528
Mailing address
1361 13TH AVE S, STE #140, JACKSONVILLE BEACH, FL 32250
(904) 246-9464
(904) 246-2528

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME41360
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4197924
AETNA
FL
Enumeration date
08/11/2006
Last updated
07/08/2007
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