Individual
JEFFREY PAUL RADABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
836 PRUDENTIAL DR STE 1601, JACKSONVILLE, FL 32207-8343
(904) 396-8060
(904) 390-7385
Mailing address
PO BOX 41516, JACKSONVILLE, FL 32203-1516
(904) 202-5111
(904) 391-5836
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME151381
FL
207Y00000X
Otolaryngology Physician
R2620
KY
207Y00000X
Otolaryngology Physician
S4846
TX
Other
Enumeration date
05/18/2011
Last updated
08/04/2021
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