MEDICARE: MR. ERIC MAURICE JUMP D.O.

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	208000000X	Pediatrics Physician	OS0004550	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	82884	OTHER	FL	BLUE CROSS BLUE SHIELD FL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952399909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIC MAURICE JUMP D.O.

Provider Business Mailing Address
First Line	:	6910 OLD WOLF BAY RD
Second Line	:	KIDS CARE PEDIATRICS, PA
City	:	PALATKA
State	:	FL
Zip	:	32177-6800
Country	:	US
Telephone Number	:	386-328-7337
Fax Number	:

Provider Business Practice Location Address
First Line	:	6910 OLD WOLF BAY RD
Second Line	:	KIDS CARE PEDIATRICS, PA
City	:	PALATKA
State	:	FL
Zip	:	32177-6800
Country	:	US
Telephone Number	:	386-328-7337
Fax Number	:

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	01/18/2026

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