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

Individual provider Pediatric Cardiology Physician · NPI 1891082764

Dr. Rod Ghassemzadeh, MD is a Pediatric Cardiology Physician in Jacksonville, Florida. Practices as a sole proprietor. Licensed in California, Florida and Pennsylvania.

Licensed in
CA, FL, PA
In the registry since
2011
Specialties on file
5
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

836 Prudential Dr
Jacksonville, FL 32207-8334
Phone: (904) 202-8550
Fax: (904) 393-7808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence ME141896 (FL)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence A149517 (CA)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence MD468026 (PA)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence MD468026 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891082764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 29, 2011
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022

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