Individual
DR. AMANDA CLIMACOSA ZAIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4760 BLANDING BLVD, JACKSONVILLE, FL 32210-7327
(904) 778-4448
(904) 778-3634
Mailing address
PO BOX 440026, JACKSONVILLE, FL 32222-0001
(904) 778-4448
(904) 778-3634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME33447
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12899
BLUE CROSS BLUE SHIELD
FL
05
—
254654000
—
FL
01
—
5949632
AETNA
FL
01
—
830347748
HUMANA
FL
Enumeration date
09/20/2006
Last updated
12/01/2010
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