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NPI Code Detail

MEDICARE: JUAN C JAUME MD

MEDICARE: JUAN C JAUME MD
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician46473WI
2207RE0101XEndocrinology, Diabetes & Metabolism Physician35.125532OH

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 : 1164498002
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN C JAUME MD
Provider Business Mailing Address
First Line : 3355 GLENDALE AVE 3RD FL
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2426
Country : US
Telephone Number : 567-420-1600
Fax Number : 567-420-1633
Provider Business Practice Location Address
First Line : 2100 W CENTRAL AVE FL 2
Second Line :
City : TOLEDO
State : OH
Zip : 43606-3800
Country : US
Telephone Number : 567-420-1600
Fax Number : 567-420-1633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 07/12/2019

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Directions to “ JUAN C JAUME MD” Practice Location

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