MEDICARE: AARON JAMES WEST 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	MD85199	FL
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	ME85199	FL
3	208VP0014X	Interventional Pain Medicine Physician	MD85199	FL
4	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	ME85199	FL
5	207L00000X	Anesthesiology Physician	ME85199	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568456077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON JAMES WEST MD

Provider Business Mailing Address
First Line	:	5011 GATE PARKWAY
Second Line	:	BLDG 100 STE 100
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-3623
Country	:	US
Telephone Number	:	904-512-7239
Fax Number	:	866-380-0827

Provider Business Practice Location Address
First Line	:	5011 GATE PARKWAY
Second Line	:	BLDG 100 STE 100
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-3623
Country	:	US
Telephone Number	:	904-512-7239
Fax Number	:	866-380-0827

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	10/24/2024

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Directions to “ AARON JAMES WEST MD” Practice Location

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