Jagid, Jonathan Russell

Jagid, Jonathan Russell is an individual health care provider with primary practice located at 1475 Nw 12Th Ave. , Miami FL 33136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Jagid, Jonathan Russell can be contacted via phone (305) 243-6946.

Contact Information

Primary practice address
1475 Nw 12Th Ave. Miami FL 33136
Phone: (305) 243-6946
Fax: (305) 243-3337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME70068 Florida

Profile Details

NPI number 1699792119
LBN Legal business name Jagid, Jonathan Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Feb 7th, 2017 - about 8 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 1699792119 NPPES
Florida MEDICAID 2617366-00
Florida MEDICAID 261736600

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