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REZA M TABA MD PA NPI 1407004658


NPI Information

NPI: 1407004658
Provider Name: REZA M TABA MD PA
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
3599 UNIVERSITY BLVD S
SUITE # 1201
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 399-4185
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REZA M TABA MD PA is a rheumatology internal medicine in Jacksonville, FL. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. REZA M TABA MD PA NPI is 1407004658. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3599 UNIVERSITY BLVD S
SUITE # 1201
JACKSONVILLE, FL
ZIP 32216-252
Phone: (904) 399-4185
Fax: (904) 396-2628

The provider's authorized official is Reza Mohammad Taba .
The authorized official title is Physician and has the following contact phone number (904) 399-4185.

The enumeration date for this NPI number is 8/29/2008 and was last updated on 9/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyME0047087FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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