Judelle, Jesse

Judelle, Jesse is an individual health care provider with primary practice located at 1300 Medical Dr , Tallahassee FL 32308-4646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Judelle, Jesse can be contacted via phone (850) 216-0100.

Contact Information

Primary practice address
1300 Medical Dr Tallahassee FL 32308-4646
Phone: (850) 216-0100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME23983 Florida

Profile Details

NPI number 1336145663
LBN Legal business name Judelle, Jesse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jan 13th, 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 1336145663 NPPES
Florida Other 01092 UNIVERSAL HEALTH CARE
Florida MEDICAID 051174900 UNIVERSAL HEALTH CARE
Florida Other 00000 UNIVERSAL HEALTH CARE
Florida Other 00000 UNIVERSAL HEALTH CARE
Florida Other 00000 UNIVERSAL HEALTH CARE
Florida Other 00000 UNIVERSAL HEALTH CARE
Florida Other 0000 UNIVERSAL HEALTH CARE
Florida Other 00000 UNIVERSAL HEALTH CARE

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