Jackie Dean Sublett in Orlando - Family Medicine

Jackie Dean Sublett - NPI 1811034986

Jackie Dean Sublett is a Family Medicine in Orlando, Florida. Jackie Dean Sublett practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jackie Dean Sublett is 1811034986. The last update date is 2019-09-12.

Jackie Dean Sublett's current location address is 52 W Underwood St # Mp135, Orlando, Florida. You can contact this provider via phone number 3218415346. The mailing address for Jackie Dean Sublett is 52 W Underwood St # Mp135, Orlando, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jackie Dean Sublett
Address 52 W Underwood St # Mp135, Orlando, Florida
Phone Number 3218415346
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1811034986
Provider Enumeration Date 2007-01-30
Last Updated Date 2019-09-12

Provider Mailing Address Detail

Address 52 W Underwood St # Mp135
City Orlando
State Florida (FL)
Post Code 328061110
Phone Number 3218415346
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No E-5084
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Jackie Dean Sublett

What is the unique provider identifier assigned to Jackie Dean Sublett?

The Jackie Dean Sublett has been issued the NPI (National Provider Identifier) 1811034986 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jackie Dean Sublett's facilities are situated?

The facilities of Jackie Dean Sublett are physically located at the following address: 52 W Underwood St # Mp135, Orlando, FL, 328061110.

What is Jackie Dean Sublett's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jackie Dean Sublett is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1811034986 to Jackie Dean Sublett?

The Jackie Dean Sublett received its 1811034986 assignment from the Centers for Medicare & Medicaid Services on 2007-01-30.

As of what date was the information regarding Jackie Dean Sublett, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jackie Dean Sublett, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-09-12.

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