MEDICARE: DR. DONALD HOWARD AUERBACH DO

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
1	207Q00000X	Family Medicine Physician	OS3470	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1104824325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD HOWARD AUERBACH DO

Provider Business Mailing Address
First Line	:	1255 LILA STREET
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208
Country	:	US
Telephone Number	:	904-524-8765
Fax Number	:	904-396-6528

Provider Business Practice Location Address
First Line	:	1255 LILA ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208-3550
Country	:	US
Telephone Number	:	904-383-1930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	06/27/2016

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Directions to “ DR. DONALD HOWARD AUERBACH DO” Practice Location

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