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Individual

BARBARA JAEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 PHILLIPS RD, RADIOLOGY DEPT, TALLAHASSEE, FL 32308-5304
(850) 878-4127
Mailing address
PO BOX 1678, TALLAHASSEE, FL 32302-1678
(844) 821-8137

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME110774
FL
2085R0203X
Therapeutic Radiology Physician
D54487
MD
2085U0001X
Diagnostic Ultrasound Physician
D54487
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004388300
FL
01
14H59
BCBS OF FL
FL
05
412400600
MD
01
KDA7 / 697567-06
BC /BS OF MD
MD
01
S187 / 0020
BLUECHOICE
MD
Enumeration date
06/03/2006
Last updated
10/01/2015
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