Individual
JODI C PICASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14 W JORDAN ST, PENSACOLA, FL 32501-1736
(850) 436-4630
(850) 436-2095
Mailing address
14 W JORDAN ST, PENSACOLA, FL 32501-1736
(850) 436-4630
(850) 436-2095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
54553
MN
208000000X
Pediatrics Physician
Primary
ME115945
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2008
Last updated
04/07/2016
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