Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alireza Bazooband, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1124051826

Alireza Bazooband, MD is an Anatomic Pathology & Clinical Pathology Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 Prudential Dr
Jacksonville, FL 32207
Phone: (904) 202-1347
Fax: (904) 202-3232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence ME90006 (FL)

Record details

NPI number1124051826
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESNovember 1, 2007

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