Female

Soha F. Alam PA-C

Medical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Soha Firoz Alam PA-C

NPI Number

1851148050

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/04/2024

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9118934

Contact
Information

Purpose

Mailing
Location

Address

13019 THATCH PALM WAY
15255 MAX LEGGETT PKWY

City

Orlando
Jacksonville

State

FL
FL

Postal Code

32828-7209
32218-7273

Country

US
US

Telephone Number

(407) 545-9315
(904) 427-1179

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/13/2024

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