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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902867039 | NPPES |
Georgia | MEDICAID | 229619568A | |
Georgia | MEDICAID | 2716038-00 |
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