Individual
DR. ANDRE D.C.P. MACEDO DIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11236 BAPTIST HEALTH DR STE 310, JACKSONVILLE, FL 32218
(904) 224-9309
(904) 764-0086
Mailing address
PO BOX 43667, JACKSONVILLE, FL 32203-3667
(904) 720-0599
(904) 376-4036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
052065
CT
207R00000X
Internal Medicine Physician
MD454365
PA
207RC0000X
Cardiovascular Disease Physician
Primary
ME136812
FL
207UN0901X
Nuclear Cardiology Physician
ME136812
FL
Other
Enumeration date
07/30/2010
Last updated
07/17/2018
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