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NPI Code Detail

MEDICARE: JENNIFER CONTIN MD

MEDICARE:   JENNIFER  CONTIN  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
1207Q00000XFamily Medicine PhysicianME0092361FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
129383OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972553030
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER CONTIN MD
Provider Business Mailing Address
First Line : 4266 SUNBEAM RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-2425
Country : US
Telephone Number : 904-407-7700
Fax Number : 904-407-6000
Provider Business Practice Location Address
First Line : 4266 SUNBEAM RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-2425
Country : US
Telephone Number : 904-407-7700
Fax Number : 904-407-6000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 03/21/2017

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Directions to “ JENNIFER CONTIN MD” Practice Location

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