MEDICARE: JJAMM2 LLC

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	363AS0400X	Surgical Physician Assistant

General Provider Information

NPI Number	:	1578422515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JJAMM2 LLC

Provider Business Mailing Address
First Line	:	309 PLAZA
Second Line	:
City	:	ATLANTIC BEACH
State	:	FL
Zip	:	32233-5441
Country	:	US
Telephone Number	:	904-535-4104
Fax Number	:

Provider Business Practice Location Address
First Line	:	309 PLAZA
Second Line	:
City	:	ATLANTIC BEACH
State	:	FL
Zip	:	32233-5441
Country	:	US
Telephone Number	:	904-535-4104
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN GOLDWASSER
Credential	:	MD
Telephone Number	:	904-535-4104

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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Directions to “JJAMM2 LLC ” Practice Location

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