Trainer, John Ezra

Trainer, John Ezra is an individual health care provider with primary practice located at 6841 Blanding Blvd , Jacksonville FL 32244-4418. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Trainer, John Ezra can be contacted via phone (904) 862-2175.

Contact Information

Primary practice address
6841 Blanding Blvd Jacksonville FL 32244-4418
Phone: (904) 862-2175
Fax: (904) 862-2175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X ME80458 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME80458 Florida

Profile Details

NPI number 1699770990
LBN Legal business name Trainer, John Ezra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Dec 2nd, 2022 - about 2 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 1699770990 NPPES
Florida MEDICAID 101586800

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