Individual
DR. KURT ALFRED JAECKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224
(904) 953-2000
(973) 290-7495
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
25MA09911100
NJ
2084N0400X
Neurology Physician
25MA09911100
NJ
2084N0400X
Neurology Physician
Primary
ME80085
FL
Other
Enumeration date
10/18/2005
Last updated
09/01/2020
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