Irazuzta, Jose Enrique

Irazuzta, Jose Enrique is an individual health care provider with primary practice located at 800 Prudential Dr Ufjp Pediatric Critical Care Medicine, Jacksonville FL 32207-8202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Irazuzta, Jose Enrique can be contacted via phone (904) 202-8758.

Contact Information

Primary practice address
800 Prudential Dr Ufjp Pediatric Critical Care Medicine Jacksonville FL 32207-8202
Phone: (904) 202-8758
Fax: (904) 306-9884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME92195 Florida
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME92195 Florida

Profile Details

NPI number 1902867039
LBN Legal business name Irazuzta, Jose Enrique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Mar 30th, 2010 - about 14 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 1902867039 NPPES
Georgia MEDICAID 229619568A
Georgia MEDICAID 2716038-00

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