Caudill, Jeffrey D.

Caudill, Jeffrey D. is an individual health care provider with primary practice located at 5851 Timuquana Rd Suite 401, Jacksonville FL 32210-7878. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Caudill, Jeffrey D. can be contacted via phone (904) 317-5069.

Contact Information

Primary practice address
5851 Timuquana Rd Suite 401 Jacksonville FL 32210-7878
Phone: (904) 317-5069
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME88799 Florida

Profile Details

NPI number 1326144700
LBN Legal business name Caudill, Jeffrey D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Dec 2nd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326144700 NPPES
Florida MEDICAID 275179800
Florida Other 48119

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