Individual
JOSE C HUMANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST # C72, JACKSONVILLE, FL 32209-6511
(904) 244-5431
Mailing address
655 W 8TH ST # C72, JACKSONVILLE, FL 32209-6511
(904) 244-5431
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD32686
AL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
MD32686
AL
207R00000X
Internal Medicine Physician
MD32686
AL
Other
Enumeration date
05/21/2008
Last updated
12/21/2018
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