Individual
DR. MICHAEL VYTANTAS JURGAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 MICCOSUKEE RD, BIXLER EMERGENCY CENTER, TALLAHASSEE, FL 32308-5054
(850) 431-0756
(850) 431-0779
Mailing address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-0756
(850) 431-0779
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME40907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069414200
—
FL
01
—
BCBS OF FLORIDA
79742
FL
Enumeration date
02/16/2006
Last updated
11/22/2011
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