Individual
DR. JOSEPH R. HARTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
4203 BELFORT RD, SUITE 215, JACKSONVILLE, FL 32216-1416
(904) 296-4141
(904) 279-2095
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME65852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1498799
CIGNA
—
01
—
208157
AVMED
—
01
—
25316
BCBS FL
—
01
—
4479855
AETNA
—
01
—
O20031821
RAILROAD MEDICARE
FL
Enumeration date
05/04/2006
Last updated
07/22/2011
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