Tejada, Jokondo Alexander

Tejada, Jokondo Alexander is an individual health care provider with primary practice located at 1905 Nw 82Nd Ave , Doral FL 33126-1011. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Tejada, Jokondo Alexander can be contacted via phone (305) 406-9585.

Contact Information

Primary practice address
1905 Nw 82Nd Ave Doral FL 33126-1011
Phone: (305) 406-9585
Fax: (305) 406-9478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1417991878
LBN Legal business name Tejada, Jokondo Alexander
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Sep 20th, 2011 - about 13 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 1417991878 NPPES
Florida MEDICAID 760608700

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