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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROD GHASSEMZADEH, M.D.

Active Sole Proprietor

DR. ROD GHASSEMZADEH, M.D. is a Pediatric Critical Care Medicine healthcare provider located in JACKSONVILLE, Florida. NPI 1891082764 is currently active in the NPPES registry. Verify at CMS.

Pediatric Critical Care Medicine · JACKSONVILLE, FL

Registration Details

NPI Number
1891082764
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2011 (15.172564376026 yrs)
Last Updated
Mar 11, 2022
Licenses
A149517 (CA)
MD468026 (PA)
MD468026 (PA)
ME141896 (FL)
Sole Proprietor
Yes

Practice Information

Address
836 PRUDENTIAL DR
JACKSONVILLE, FL, 322078334
Browse FL providers · Browse ZIP 32207
Phone
9042028550
Fax
9043937808
Primary Specialty
Pediatric Critical Care Medicine
2080P0203X
Additional Specialty
Pediatric Cardiology

Other Pediatric Critical Care Medicine Providers in JACKSONVILLE, FL

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.