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NPI Code Detail

MEDICARE: VICTORIA VIRGINIA DAJANI PA

MEDICARE: VICTORIA VIRGINIA DAJANI PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1932832995
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA VIRGINIA DAJANI PA
Provider Business Mailing Address
First Line : 1301 PALM AVE STE 500
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8457
Country : US
Telephone Number : 904-202-7300
Fax Number :
Provider Business Practice Location Address
First Line : 1301 PALM AVE STE 500
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8457
Country : US
Telephone Number : 904-202-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2022
Last Update Date : 03/23/2026

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Directions to “ VICTORIA VIRGINIA DAJANI PA” Practice Location

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