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NPI Code Detail

MEDICARE: KIELY, JEREMIAH, & BARBERIS, PA

MEDICARE: KIELY, JEREMIAH, & BARBERIS, PA
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
1146M00000XIntermediate Emergency Medical TechnicianME39469FL

General Provider Information

NPI Number : 1003925728
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIELY, JEREMIAH, & BARBERIS, PA
Provider Business Mailing Address
First Line : 5978 POWERS AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2210
Country : US
Telephone Number : 904-737-8686
Fax Number : 904-448-5414
Provider Business Practice Location Address
First Line : 5978 POWERS AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2210
Country : US
Telephone Number : 904-737-8686
Fax Number : 904-448-5414
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. ROBERT FRENCH KIELY
Credential : M.D.
Telephone Number : 904-737-8686
Provider Enumeration Date : 08/29/2006
Last Update Date : 08/22/2020

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