Individual
DR. JEREMY RICHARD JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
380 CELEBRATION PL FL 2, CELEBRATION, FL 34747-4606
(407) 303-4760
(407) 303-4546
Mailing address
380 CELEBRATION PL FL 2, CELEBRATION, FL 34747-4606
(407) 303-4760
(407) 303-4546
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME142761
FL
2086X0206X
Surgical Oncology Physician
079673
GA
Other
Enumeration date
04/18/2013
Last updated
12/13/2019
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