Magee, J Sample

Magee, J Sample is an individual health care provider with primary practice located at 3550 University Blvd S Ste 204, Jacksonville FL 32216-4246. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Magee, J Sample can be contacted via phone (904) 384-2240.

Contact Information

Primary practice address
3550 University Blvd S Ste 204 Jacksonville FL 32216-4246
Fax: (904) 384-6055
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME30740 Florida

Profile Details

NPI number 1801890389
LBN Legal business name Magee, J Sample
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Mar 20th, 2013 - about 11 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 1801890389 NPPES
Florida MEDICAID 065371300

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