Individual
JIALIN SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209
(904) 383-1011
(904) 244-5913
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 383-1011
(904) 244-5913
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME134322
FL
207RC0000X
Cardiovascular Disease Physician
ME134322
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME134322
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2010
Last updated
05/23/2018
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