Reza M Taba MD PA

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

ME0047087 Issued in FL

Legal business name

REZA M TABA MD PA

Practice address

3599 University Blvd S
Suite # 1201
Jacksonville, FL 32216-4252

Phone

(904) 399-4185

Fax

(904) 396-2628

NPI assigned

Aug 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Reza Mohammad Taba, M.D.

Title

Physician

Phone

(904) 399-4185

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1407004658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "SUITE # 1201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-399-4185",
            "fax_number": "904-396-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "SUITE # 1201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-399-4185",
            "fax_number": "904-396-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA M TABA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "TABA",
        "authorized_official_first_name": "REZA",
        "authorized_official_middle_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-399-4185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME0047087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Rizzi Reynolds, MS, RD, CSR, LD
• Natalie Reynolds, PA-C
• Tina R Reynolds, MS, RD, CDE
• Reza Azari Samani, DDS PA
• Reza Health LLC
• Mohammed Bin Reza, MD
• Rebecca K Reza, ARNP
• Ario Rezaei, MD
• Majid Rezaei, DDS, MSC
• Julia Rezende de Abreu

• Rheumatology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.