Ganji, Maedeh

Ganji, Maedeh is an individual health care provider with primary practice located at 1320 Roberts Dr Ste 101 , Jacksonville Beach FL 32250-3253. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Ganji, Maedeh can be contacted via phone (904) 241-7147.

Contact Information

Primary practice address
1320 Roberts Dr Ste 101 Jacksonville Beach FL 32250-3253
Phone: (904) 241-7147
Fax: (904) 376-3213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME144691 Florida

Profile Details

NPI number 1598182552
LBN Legal business name Ganji, Maedeh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2014
Last updated Aug 4th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598182552 NPPES
Florida MEDICAID 000000000
Florida Other MCNQV
Florida MEDICAID 107504000

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