Individual
AMY LYNN JURASZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 32207-8350
(904) 202-8550
(904) 393-7808
Mailing address
PO BOX 44047, JACKSONVILLE, FL 32231-4047
(904) 202-8290
(904) 202-8171
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N3772
TX
2080P0202X
Pediatric Cardiology Physician
77060
GA
2080P0202X
Pediatric Cardiology Physician
Primary
ME128997
FL
2080P0202X
Pediatric Cardiology Physician
N3772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210141202
—
TX
Enumeration date
10/31/2005
Last updated
08/21/2023
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