Jenkins, Frederick

Jenkins, Frederick is an individual health care provider with primary practice located at 3625 University Blvd S Emergency Department, Jacksonville FL 32216-4207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Jenkins, Frederick can be contacted via phone (904) 346-3606.

Contact Information

Primary practice address
3625 University Blvd S Emergency Department Jacksonville FL 32216-4207
Fax: (904) 346-0113
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X ME0083245 Florida

Profile Details

NPI number 1154309607
LBN Legal business name Jenkins, Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Jul 23rd, 2007 - about 17 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 1154309607 NPPES
Florida Other 62051 BCBS

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