Individual
DR. JENNIFER A OLES-DUGRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13820 OLD SAINT AUGUSTINE RD STE 101, JACKSONVILLE, FL 32258-5424
(904) 260-2565
(904) 246-6878
Mailing address
13820 OLD SAINT AUGUSTINE RD STE 101, JACKSONVILLE, FL 32258-5424
(904) 260-2565
(904) 246-6878
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12886
NH
208000000X
Pediatrics Physician
231938
MA
208000000X
Pediatrics Physician
Primary
ME 122982
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010754300
—
FL
05
—
2140993
—
MA
Enumeration date
04/12/2006
Last updated
11/08/2016
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