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DR. EDWARD A MIZRAHI M.D.

Allergy and Immunology

Orange Park, Florida

Provider NPI: 1730172370

Provider Information:
DR. EDWARD A MIZRAHI M.D.


Practice Location:
1895 KINGSLEY AVE SUITE 401 ORANGE PARK, FL 32073 US
Tel: 904-730-4870  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
FLME 25318

Other Provider Identifiers:

IssuerNumberStateType
TAX ID NUMBER203722480FL01
D52560FL02
15398FL04
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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