| Arastoo T Nabizadeh Md Pa | |
|
6816 Southpoint Pkwy Ste 201 Jacksonville FL 32216-1701 | |
| (904) 281-1164 | |
| (904) 281-7732 |
| Full Name | Arastoo T Nabizadeh Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6816 Southpoint Pkwy Ste 201, Jacksonville, Florida |
| Authorized Official Name and Position | Arastoo T Nabizadeh (PRESIDENT) |
| Authorized Official Contact | 9042811164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arastoo T Nabizadeh Md Pa Po Box 17809 Jacksonville FL 32245-7809 Ph: (904) 723-5665 | Arastoo T Nabizadeh Md Pa 6816 Southpoint Pkwy Ste 201 Jacksonville FL 32216-1701 Ph: (904) 281-1164 |
| NPI Number | 1801143342 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 08/14/2012 |
| Medicare PECOS PAC ID | 7214184688 |
|---|---|
| Medicare Enrollment ID | O20120821000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801143342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME72727 (Florida) | Primary |
| Provider Name | Arastoo T Nabizadeh-eraghi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730176348 PECOS PAC ID: 1951374685 Enrollment ID: I20040819000481 |
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