Individual
DR. JOHN M ASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1522 EMERSON ST, JACKSONVILLE, FL 32207-6102
(904) 396-3964
(904) 396-0128
Mailing address
3710 GRANDY AVE, JACKSONVILLE, FL 32207-6112
(904) 398-1471
(904) 398-1460
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME45615
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044852400
—
FL
05
—
044852402
—
FL
05
—
044852404
—
FL
05
—
263972600
—
FL
05
—
263972601
—
FL
05
—
263972602
—
FL
05
—
263972603
—
FL
05
—
263972604
—
FL
05
—
263972605
—
FL
05
—
263972606
—
FL
Enumeration date
09/14/2006
Last updated
04/23/2009
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