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NPI Code Detail

MEDICARE: DR. JEFFREY WARD D.O.

MEDICARE:  DR. JEFFREY  WARD  D.O.
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 PhysicianOS7364FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093779175
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY WARD D.O.
Provider Business Mailing Address
First Line : 61 MEMORIAL MEDICAL PKWY
Second Line : SUITE 3813
City : PALM COAST
State : FL
Zip : 32164-5981
Country : US
Telephone Number : 386-586-1710
Fax Number : 386-586-1741
Provider Business Practice Location Address
First Line : 61 MEMORIAL MEDICAL PKWY
Second Line : SUITE 3813
City : PALM COAST
State : FL
Zip : 32164-5981
Country : US
Telephone Number : 386-586-1710
Fax Number : 386-586-1711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 01/22/2020

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Directions to “ DR. JEFFREY WARD D.O.” Practice Location

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