Organization
JAYALAKSHMI PADMANABHAN MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYALAKSHMI PADMANABHAN M.D., P.A. (PRESIDENT)
(904) 264-0000
Entity
Organization
Contact information
Practice address
108 KINGSLEY AVE, ORANGE PARK, FL 32073-5685
(904) 264-0000
Mailing address
108 KINGSLEY AVE, ORANGE PARK, FL 32073-5685
(904) 264-0000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264175500
—
FL
Enumeration date
05/22/2007
Last updated
03/08/2010
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