Individual
JAVIER FRANCISCO ADUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 HEALTH PARK BLVD, STE 4000, ST AUGUSTINE, FL 32086-3707
(904) 824-8666
(904) 824-8933
Mailing address
PO BOX 860305, ST AUGUSTINE, FL 32086-0305
(904) 824-8666
(904) 824-8933
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME77287
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME77287
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268581700
—
FL
01
—
44910
BLUECROSS/BLUESHIELD
FL
01
—
POO846212
RR MEDICARE
FL
Enumeration date
10/04/2005
Last updated
08/19/2011
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