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Individual

DR. JASWANT S JADEJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5742 BOOTH RD, JACKSONVILLE, FL 32207-5905
(904) 739-7779
(904) 739-7771
Mailing address
9143 PHILIPS HWY, STE 560, JACKSONVILLE, FL 32256-1369
(904) 363-2113
(904) 363-2606

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME 42155
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15184
BCBS
FL
Enumeration date
06/14/2005
Last updated
10/18/2007
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