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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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