Individual
MR. JEFFREY D. CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5851 TIMUQUANA RD, SUITE 401, JACKSONVILLE, FL 32210-7878
(904) 317-5069
Mailing address
5851 TIMUQUANA RD, SUITE 401, JACKSONVILLE, FL 32210-7878
(904) 317-5069
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME88799
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275179800
—
FL
01
—
48119
BCBS
FL
Enumeration date
09/15/2006
Last updated
12/02/2009
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