Individual
JAMAL JOUDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4724 N DAVIS HWY # 100, PENSACOLA, FL 32503-2339
(850) 201-2421
(850) 886-2235
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME112975
FL
207RH0000X
Hematology (Internal Medicine) Physician
ME112975
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME112975
FL
207RX0202X
Medical Oncology Physician
Primary
ME112975
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004964200
—
FL
01
—
1178638
WELLCARE
FL
01
—
14K7W
BCBS
FL
01
—
7267946
AETNA
FL
01
—
7920283
CIGNA
FL
01
—
GC718Y
MEDICARE
FL
01
—
MT183299
GRADUATE MEDICAL TRAINEE
PA
01
—
P01428446
RR MEDICARE
FL
Enumeration date
05/15/2007
Last updated
04/30/2026
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