Individual
JOHN EDWIN DIMA-ALA SIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2122 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-8937
(904) 398-5614
(904) 398-5617
Mailing address
2122 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-8937
(904) 398-5614
(904) 398-5617
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME170306
FL
Other
Enumeration date
03/27/2020
Last updated
06/08/2025
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