Organization
JESSE P MCRAE M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE P MCRAE M.D. (PHYSICIAN)
(904) 384-3711
Entity
Organization
Contact information
Practice address
1727 BLANDING BLVD STE 101, JACKSONVILLE, FL 32210-1949
(904) 384-3711
(904) 384-1513
Mailing address
1727 BLANDING BLVD STE 101, JACKSONVILLE, FL 32210-1949
(904) 384-3711
(904) 384-1513
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39207
FL
Other
Enumeration date
04/28/2008
Last updated
06/30/2008
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