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1801848056
TAJVAR H GOUDARZI
JACKSONVILLE, FL
NPI
1801848056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME29654)
Enumeration Date
2006-05-16
Last Update Date
2009-10-26
Business Address
Dr. TAJVAR H GOUDARZI MD
6271 SAINT AUGUSTINE RD UFJP SAN JOSE PEDS AND ADOLESCENT CENTER
JACKSONVILLE, FL 32217-2523
Phone number: 904-633-0460
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Mailing Address
Dr. TAJVAR H GOUDARZI MD
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number:
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