Individual
DR. J SAMPLE MAGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 W MONROE ST STE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
(904) 486-2314
Mailing address
915 W MONROE ST STE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
(904) 486-2314
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME30740
FL
207R00000X
Internal Medicine Physician
ME30740
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME30740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065371300
—
FL
Enumeration date
06/13/2005
Last updated
02/04/2025
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