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Individual

DR. JEAN-CLAUDE JEANTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0066990
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1202000
UNITED HEALTH CARE MEDICA
FL
01
14019
FLORIDA HOSPITAL HEALTH
FL
01
26333
BLUE CROSS
FL
05
2672715900
FL
01
5907098
AETNA
FL
01
6633914-001
CIGNA
FL
01
759373
CONNECTICARE
FL
01
761792
FIRST HEALTH
FL
Enumeration date
11/02/2005
Last updated
08/03/2011
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