Individual
ALEXANDER JAGERNAUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.A.
Contact information
Practice address
820 PRUDENTIAL DR, STE 606, JACKSONVILLE, FL 32207-8208
(904) 398-3356
Mailing address
1109 DARLINGTON OAK DR NE, ST PETERSBURG, FL 33703-6314
(727) 410-6079
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA225
FL
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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