Individual
ETHAN START
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15255 MAX LEGGETT PKWY, JACKSONVILLE, FL 32218-7273
(904) 427-7333
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-6340
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME172708
FL
Other
Enumeration date
03/25/2022
Last updated
03/25/2025
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