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Individual
JOHN ALEXANDER CHURCHILL
Active
Individual
JOHN ALEXANDER CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME87100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189182
AMERIGROUP
FL
01
—
221101
STAYWELL HEALTHY KIDS
FL
01
—
25519
BLUE CROSS BLUE SHIELD
FL
05
—
267883700
—
FL
01
—
270843
AVMED
FL
01
—
4509387
AETNA
FL
01
—
7566688-008
CIGNA
FL
Enumeration date
07/28/2006
Last updated
09/14/2012
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