Individual
DR. JACK TSAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 396-5682
(904) 346-0864
Mailing address
820 PRUDENTIAL DR, 713, JACKSONVILLE, FL 32207-8210
(904) 396-5682
(904) 346-0864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
058522
GA
207P00000X
Emergency Medicine Physician
Primary
ME96811
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02283
BCBS
FL
05
—
277924200
—
FL
05
—
858922157A
—
GA
Enumeration date
12/07/2006
Last updated
04/25/2008
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