Organization
ANA M. JORQUERA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANA MARIA JORQUERA MD (MEDICAL DOCTOR)
(904) 268-1166
Entity
Organization
Contact information
Practice address
9765 SAN JOSE BLVD STE 105, JACKSONVILLE, FL 32257-5467
(904) 268-1166
(904) 268-1037
Mailing address
9765 SAN JOSE BLVD STE 105, JACKSONVILLE, FL 32257-5467
(904) 268-1166
(904) 268-1037
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME47293
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056715900
—
FL
01
—
130017325
RAILROAD MEDICARE
FL
Enumeration date
09/25/2007
Last updated
10/14/2010
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