Individual provider · Type 1 NPI

Abigail Lane Hajivandi, CAA

Anesthesiologist Assistant · Jacksonville, FL

NPI number 1679355176 Active

Practice location

800 Prudential Dr Apt 5310
Jacksonville, FL 32207-8202

Mailing address

17 Martha Ct
St. Augustine, FL 32092-3339

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant Primary 367H00000XAA856 (FL)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1679355176

Abigail Lane Hajivandi, CAA's National Provider Identifier is 1679355176, issued on Oct 18, 2023. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 30, 2026.