Individual
MARY ALIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4555 EMERSON ST, SUITE 300, JACKSONVILLE, FL 32207-4966
(904) 633-0089
(904) 633-0028
Mailing address
4555 EMERSON ST, SUITE 300, JACKSONVILLE, FL 32207-4966
(904) 633-0089
(904) 633-0028
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
TRN9056
FL
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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