MEDICARE: MIGUEL A JURADO 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
1	207R00000X	Internal Medicine Physician	ME162602	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00337029	OTHER	GA	RAILROAD MEDICARE

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
3	949593-09859	OTHER	GA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1417908435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIGUEL A JURADO MD

Provider Business Mailing Address
First Line	:	PO BOX 746638
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6638
Country	:	US
Telephone Number	:	904-202-2092
Fax Number	:	904-376-4075

Provider Business Practice Location Address
First Line	:	4745 SUTTON PARK CT STE 701
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-0257
Country	:	US
Telephone Number	:	904-376-4935
Fax Number	:	904-376-3218

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

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	12/03/2025

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