Reza Health | |
949 Lane Ave S Jacksonville FL 32205-4706 | |
(888) 831-2949 | |
Not Available |
Full Name | Reza Health |
---|---|
Speciality | Internal Medicine |
Location | 949 Lane Ave S, Jacksonville, Florida |
Authorized Official Name and Position | Mohammed Reza (OWNER) |
Authorized Official Contact | 9048083688 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Reza Health 81 Coppinger Pl St Johns FL 32259-2263 Ph: () - | Reza Health 949 Lane Ave S Jacksonville FL 32205-4706 Ph: (888) 831-2949 |
NPI Number | 1033820618 |
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Provider Enumeration Date | 12/05/2022 |
Last Update Date | 01/10/2023 |
Medicare PECOS PAC ID | 0840660692 |
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Medicare Enrollment ID | O20230112000623 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033820618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Mohammed B Reza |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174753933 PECOS PAC ID: 7416104963 Enrollment ID: I20131029000331 |
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