Individual provider · Type 1 NPI

Reza M. Taba, MD

Specialist · Jacksonville, FL

NPI number 1154314128 Active

Practice location

3599 University Blvd S, Suite 1201
Jacksonville, FL 32216-4252

Fax (904) 396-2628

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME0047087 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1154314128

Reza M. Taba, MD's National Provider Identifier is 1154314128, issued on Aug 25, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 10, 2017.