Individual
DR. JOHNNY N JADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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