Individual
JAYANTH KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST # C126, JACKSONVILLE, FL 32209-6511
(904) 244-3831
Mailing address
655 W 8TH ST # C126, JACKSONVILLE, FL 32209-6511
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
TRN35850
FL
Other
Enumeration date
03/23/2022
Last updated
06/05/2023
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