Individual
DR. JEFFREY TAYLOR LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209
(904) 244-2120
(904) 244-2896
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-2120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME75220
FL
207RI0200X
Infectious Disease Physician
Primary
ME75220
FL
207RI0200X
Infectious Disease Physician
V4425
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000843334A
—
GA
01
—
110198855
RAILROAD MEDICARE
FL
05
—
2573865-00
—
FL
Enumeration date
03/23/2006
Last updated
05/05/2025
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