Individual
DR. JUSTIN MICHAEL MORTIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2732 TROLLIE LN, JACKSONVILLE, FL 32211-3833
(904) 289-1254
Mailing address
2732 TROLLIE LN, JACKSONVILLE, FL 32211-3833
(904) 289-1254
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME154109
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/16/2012
Last updated
05/30/2024
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