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NPI Code Detail

MEDICARE: JONATHAN S APPELBAUM M.D.

MEDICARE: JONATHAN S APPELBAUM M.D.
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician96766FL

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 : 1215975503
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN S APPELBAUM M.D.
Provider Business Mailing Address
First Line : FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Second Line : 1115 WEST CALL STREET, SUITE 3140-J
City : TALLAHASSEE
State : FL
Zip : 32306-4300
Country : US
Telephone Number : 850-645-1227
Fax Number : 850-644-0158
Provider Business Practice Location Address
First Line : 1255 W WASHINGTON ST
Second Line : JEFFERSON COUNTY HEALTH DEPARTMENT
City : MONTICELLO
State : FL
Zip : 32344-1128
Country : US
Telephone Number : 850-342-0170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 04/11/2012

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