DASTAGIR A KHAN MD, PA
Hospitals at Prudential Dr, Jacksonville, FL

License number
Florida ARNP9264398
Category
Hospitals
Type
General Acute Care Hospital
Owner
Name: DR. DASTAGIR KHAN M.D.
Title: PHYSICIAN
Phone: (904) 955-7190
Address
Address
800 Prudential Dr, Jacksonville, FL 32207
National Provider ID: 1073815676
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Dastagir A Khan M.D., PA

West Palm Beach, FL  -  Jacksonville, FL

Industry:
Medical Doctor's Office, Internist
Doing business as:
Dastagir Khan MD,MBBS,BS
Registration:
Mar 11, 2005
Phone:
(904) 221-1624 (Phone)
Addresses:
4524 Gun Clb Rd, West Palm Beach, FL 33415
207 Barony Dr, Jacksonville, FL 32225
State ID:
P05000037753
Business type:
Domestic for Profit Corporation
President:
Dastagir A. Khan (President)

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