Jefferson, Monique Y

Jefferson, Monique Y is an sole proprietor health care provider with primary practice located at 10430 Ray Rd , Ponte Vedra FL 32081-8813. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jefferson, Monique Y can be contacted via phone (904) 671-8329.

Contact Information

Primary practice address
10430 Ray Rd Ponte Vedra FL 32081-8813
Phone: (904) 671-8329
Fax: (904) 824-9983
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TRN 16281 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME118129 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 118129 Florida

Profile Details

NPI number 1861788085
LBN Legal business name Jefferson, Monique Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2011
Last updated Mar 6th, 2019 - about 5 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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