Individual
DR. JOSE ALBERTO ETTEDGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 32207-8350
(904) 202-8550
(904) 393-7808
Mailing address
PO BOX 40767, JACKSONVILLE, FL 32203-0767
(904) 376-3707
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME86378
FL
2080P0202X
Pediatric Cardiology Physician
Primary
ME86378
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000723269A
—
GA
05
—
2637286-00
—
FL
Enumeration date
03/12/2006
Last updated
05/11/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us