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JASIM AMIR ALIDINA MD

Diagnostic Radiology >> Radiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1588050843

Individual Registrant:
 JASIM AMIR ALIDINA MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1673 MASON AVE STE 305  DAYTONA BEACH, FL 32117-5516 US
Tel: 386-274-7118  Fax: --

Contact information for business:
1673 MASON AVE STE 305  DAYTONA BEACH, FL 32117-5516 US
Tel: 386-274-7118  Fax: --

Registration Information:
NPI: 1588050843
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2085R0202XAllopathic & Osteopathic Physicians
Radiology
Diagnostic Radiology
FLME145778

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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