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1447219563
SANIYYAH ITANI MAHMOUDI
JACKSONVILLE, FL
NPI
1447219563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP2670832)
Enumeration Date
2006-03-18
Last Update Date
2011-04-25
Business Address
Ms. SANIYYAH ITANI MAHMOUDI ARNP
655 W 8TH ST UFJP PEDIATRIC INFECTIOUS DISEASES
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-4881
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Mailing Address
Ms. SANIYYAH ITANI MAHMOUDI ARNP
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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