Raina, Nasrin Datar

Raina, Nasrin Datar is an individual health care provider with primary practice located at 151 Pine Lake Dr Ste B , Ponte Vedra FL 32081-5136. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Raina, Nasrin Datar can be contacted via phone (904) 543-3677.

Contact Information

Primary practice address
151 Pine Lake Dr Ste B Ponte Vedra FL 32081-5136
Phone: (904) 543-3677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME139724 Florida

Profile Details

NPI number 1003059270
LBN Legal business name Raina, Nasrin Datar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2009
Last updated Jun 15th, 2020 - about 4 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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