Aghaebrahim, Amin Nima

Aghaebrahim, Amin Nima is an individual health care provider with primary practice located at 800 Prudential Dr Suite 1100, Jacksonville FL 32207-8202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Aghaebrahim, Amin Nima can be contacted via phone (904) 388-6518.

Contact Information

Primary practice address
800 Prudential Dr Suite 1100 Jacksonville FL 32207-8202
Phone: (904) 388-6518
Fax: (904) 384-1005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD448012 Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X MD448012 Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME127798 Florida

Profile Details

NPI number 1558504423
LBN Legal business name Aghaebrahim, Amin Nima
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2009
Last updated Aug 29th, 2016 - about 8 years 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 1558504423 NPPES
Florida Other P01662142 RR MEDICARE
Florida MEDICAID 017332100 RR MEDICARE

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