Individual
DR. JOHNNY N JADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3550 UNIVERSITY BLVD S, STE 206, JACKSONVILLE, FL 32216-4246
(904) 723-0015
(904) 723-5665
Mailing address
PO BOX 17809, JACKSONVILLE, FL 32245-7809
(904) 723-0015
(904) 723-5665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME52918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103945
AVMED
FL
01
—
11498
HEALTHEASE
FL
01
—
27285
BCBS
FL
05
—
378546700
—
FL
Enumeration date
11/08/2005
Last updated
01/26/2012
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