AZITA DJALILVAND

JACKSONVILLE, FL
NPI1760427991
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: FL  ME96075)
Additional Taxonomies207ZP0007X Pathology, Molecular Genetic Pathology
(Licence: FL  ME96075)
Enumeration Date2006-06-19
Last Update Date2008-01-30
Business Address
Dr. AZITA DJALILVAND M.D.
655 W 8TH ST UFJP PATHOLOGY
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-4218
Mailing Address
Dr. AZITA DJALILVAND M.D.
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3660