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NPI Code Detail

MEDICARE: NEIROUZ BSHARA JOSEPH MD

MEDICARE: NEIROUZ BSHARA JOSEPH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianTRN9061FL
2207Q00000XFamily Medicine PhysicianME100861FL
3207Q00000XFamily Medicine PhysicianTRN 10718FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275686081
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEIROUZ BSHARA JOSEPH MD
Provider Business Mailing Address
First Line : PO BOX 746638
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6638
Country : US
Telephone Number : 904-202-2092
Fax Number : 904-376-4075
Provider Business Practice Location Address
First Line : 14011 BEACH BLVD STE 230
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32250-1695
Country : US
Telephone Number : 904-992-1601
Fax Number : 904-390-7446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 01/27/2026

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Directions to “ NEIROUZ BSHARA JOSEPH MD” Practice Location

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