Individual
DR. JAWED HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4063 SALISBURY RD STE 100, JACKSONVILLE, FL 32216-6199
(904) 717-9625
(904) 683-6499
Mailing address
PO BOX 57970, JACKSONVILLE, FL 32241-7970
(904) 306-9860
(904) 306-9864
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME52215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049131400
—
FL
01
—
05624
BCBS
FL
01
—
250013790
RAILROAD MEDICARE
FL
Enumeration date
09/15/2006
Last updated
05/24/2018
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