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NPI Code Detail

MEDICARE: DR. JAY ALEXANDER HOMBURGER MD

MEDICARE:  DR. JAY ALEXANDER HOMBURGER  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
1207L00000XAnesthesiology Physician058425GA
2207L00000XAnesthesiology PhysicianC169806CA
3207L00000XAnesthesiology PhysicianME100520FL

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 : 1730237595
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAY ALEXANDER HOMBURGER MD
Provider Business Mailing Address
First Line : 820 PRUDENTIAL DR STE 606
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8208
Country : US
Telephone Number : 706-288-4117
Fax Number :
Provider Business Practice Location Address
First Line : 8700 BEVERLY BLVD STE SB290
Second Line :
City : W HOLLYWOOD
State : CA
Zip : 90048-1804
Country : US
Telephone Number : 310-423-5841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 12/10/2025

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Directions to “ DR. JAY ALEXANDER HOMBURGER MD” Practice Location

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