Individual
JONATHAN MAURICIO BADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10250 NORMANDY BLVD UNIT 201, JACKSONVILLE, FL 32221-8066
(904) 652-0870
(904) 652-2308
Mailing address
10250 NORMANDY BLVD UNIT 201, JACKSONVILLE, FL 32221-8066
(904) 861-1034
(904) 861-1037
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20797
PR
208000000X
Pediatrics Physician
ME140051
FL
Other
Enumeration date
07/21/2011
Last updated
03/07/2023
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