Justin Reid Federico in Jacksonville - Internal Medicine
Justin Reid Federico - NPI 1538327952
Justin Reid Federico is a Internal Medicine in Jacksonville, Florida. Justin Reid Federico practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Justin Reid Federico is 1538327952. The last update date is 2019-06-18.
Justin Reid Federico's current location address is 820 Prudential Dr Ste 304, Jacksonville, Florida. You can contact this provider via phone number 9042023860 and fax number 9042023846. The mailing address for Justin Reid Federico is 820 Prudential Dr Ste 304, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Reid Federico |
|---|---|
| Address | 820 Prudential Dr Ste 304, Jacksonville, Florida |
| Phone Number | 9042023860 |
| Fax Number | 9042023846 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1538327952 |
|---|---|
| Provider Enumeration Date | 2008-06-02 |
| Last Updated Date | 2019-06-18 |
Provider Mailing Address Detail
| Address | 820 Prudential Dr Ste 304 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078205 |
| Phone Number | 9042023860 |
| Fax Number | 9042023846 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | OS11319 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3631100 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Justin Reid Federico?
The Justin Reid Federico has been issued the NPI (National Provider Identifier) 1538327952 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Justin Reid Federico?
The Justin Reid Federico is situated at 820 Prudential Dr Ste 304, in the city of Jacksonville, state of FL, with the zip code 322078205.
What is Justin Reid Federico's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Justin Reid Federico is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Justin Reid Federico receive its 1538327952 assignment from the Centers for Medicare & Medicaid Services?
The Justin Reid Federico was assigned its 1538327952 by the Centers for Medicare & Medicaid Services on 2008-06-02.
When was the information regarding Justin Reid Federico, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Justin Reid Federico, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-06-18.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY