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General NPI Number Information
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NPI Number | 1407761661
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Entity Type | Organization
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Legal Business Name | MEDVIDI HEALTH, P.A.
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 10151 DEERWOOD PARK BLVD STE 250
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City | JACKSONVILLE
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State | FL
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Zip | 32256-0566
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Country | US
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Telephone | 504-414-5095
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Fax |
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Provider Business Mailing Address
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Address Line | 4010 MOORPARK AVE STE 114
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City | SAN JOSE
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State | CA
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Zip | 95117-1803
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANEEL URSANI
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Credential | MD
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Telephone | 310-683-8538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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