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DR. IMRAAN ANSAARIE MD

Interventional Cardiology >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1972714632

Individual Registrant:
DR. IMRAAN  ANSAARIE MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
215 HWY 17S  EAST PALATKA, FL 32131 US
Tel: 773-412-3420  Fax: --

Contact information for business:
209 PINEHURST POINTE DR  ST AUGUSTINE, FL 32092-3703 US
Tel: 773-412-3420  Fax: --

Registration Information:
NPI: 1972714632
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RI0011XAllopathic & Osteopathic Physicians
Internal Medicine
Interventional Cardiology
FLME121178
N207RC0000XAllopathic & Osteopathic Physicians
Internal Medicine
FLME121178

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
012828200FL05
200902590IN05




HEALTH CARE JOBS FL - Page 1



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