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NPI Code Detail

MEDICARE: JEFFREY A TRUE M.D

MEDICARE: JEFFREY A TRUE M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME0051070FL
2208M00000XHospitalist PhysicianME51070FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
104302OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3ME0051070OTHERFLVHN
4ME0051070OTHERFLBEECHSTREET
5ME0051070OTHERFLUNITED BENEFITS
680171373OTHERFLRAILROAD
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437148574
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY A TRUE M.D
Provider Business Mailing Address
First Line : 239 N RIDGEWOOD AVE
Second Line : SUITE 1
City : EDGEWATER
State : FL
Zip : 32132-1734
Country : US
Telephone Number : 386-427-9901
Fax Number : 386-427-1926
Provider Business Practice Location Address
First Line : 239 N RIDGEWOOD AVE
Second Line : SUITE 1
City : EDGEWATER
State : FL
Zip : 32132-1734
Country : US
Telephone Number : 386-427-9901
Fax Number : 386-427-9935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 12/05/2023

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Directions to “ JEFFREY A TRUE M.D” Practice Location

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