Johnny N Jada is a Pediatrics in Jacksonville, Florida. Johnny N Jada practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Johnny N Jada is 1184605057. The last update date is 2012-01-26.
Johnny N Jada's current location address is Po Box 17809, Jacksonville, Florida. You can contact this provider via phone number 9047230015 and fax number 9047235665. The mailing address for Johnny N Jada is Po Box 17809, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny N Jada |
|---|---|
| Address | Po Box 17809, Jacksonville, Florida |
| Phone Number | 9047230015 |
| Fax Number | 9047235665 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184605057 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2012-01-26 |
Provider Mailing Address Detail
| Address | Po Box 17809 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322457809 |
| Phone Number | 9047230015 |
| Fax Number | 9047235665 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | ME52918 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103945 | FL | AVMED | |
| 11498 | FL | HEALTHEASE | |
| 27285 | FL | BCBS | |
| 378546700 | FL | -- |
Post Comment/ Review Below
What is the Johnny N Jada's 1184605057?
The Johnny N Jada's NPI (National Provider Identifier) Number is 1184605057. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Johnny N Jada's facilities are geographically located?
The facilities of Johnny N Jada are physically situated at the following location: Po Box 17809, Jacksonville, FL, 322457809.
What is the Johnny N Jada's specialty and taxonomy code?
The Johnny N Jada's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Johnny N Jada receive its 1184605057 assignment from the Centers for Medicare & Medicaid Services?
The Johnny N Jada was assigned its 1184605057 by the Centers for Medicare & Medicaid Services on 2005-11-08.
As of what date was the information regarding Johnny N Jada, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Johnny N Jada, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-26.