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1205071719
IMTIAZ RASUL
JACKSONVILLE, FL
NPI
1205071719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: FL ME-112178)
Enumeration Date
2008-12-12
Last Update Date
2014-11-07
Business Address
Dr. IMTIAZ RASUL M.D.
10175 FORTUNE PKWY SUITE 104
JACKSONVILLE, FL 32256-6746
Phone number: 904-379-8748
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Mailing Address
Dr. IMTIAZ RASUL M.D.
10175 FORTUNE PKWY SUITE 104
JACKSONVILLE, FL 32256-6746
Phone number: 904-379-8748
Copy
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