Individual
MARYAM BAKHSHANDEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 W 8TH ST # C505, CLINICAL CENTER, 1ST FLOOR, JACKSONVILLE, FL 32209-6511
(904) 244-4889
(904) 244-4060
Mailing address
655 W 8TH ST # C505, CLINICAL CENTER, 1ST FLOOR, JACKSONVILLE, FL 32209-6511
(904) 244-4889
(904) 244-4060
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
TRN8566
FL
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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