Individual
JAY KHADPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-6340
(904) 244-4508
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-6340
(904) 244-4508
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
256081
NY
207P00000X
Emergency Medicine Physician
Primary
ME126242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003172241A
—
GA
05
—
016271300
—
FL
Enumeration date
02/03/2010
Last updated
03/31/2016
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