Healthcare Provider Details

I. General information

NPI: 1942179809
Provider Name (Legal Business Name): GREG CAJUSTE HAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8553 ARGYLE BUSINESS LOOP STE D
JACKSONVILLE FL
32244-6669
US

IV. Provider business mailing address

8553 ARGYLE BUSINESS LOOP STE D
JACKSONVILLE FL
32244-6669
US

V. Phone/Fax

Practice location:
  • Phone: 904-479-5198
  • Fax:
Mailing address:
  • Phone: 904-479-5198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS5918
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: