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Individual

JEYKO JOELLE GARUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
911 S MAIN ST, TRENTON, FL 32693-3239
(352) 463-2374
Mailing address
23343 NW COUNTY ROAD 236, HIGH SPRINGS, FL 32643-9669
(346) 454-0698
(386) 454-0690

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LL38493
SC
208000000X
Pediatrics Physician
Primary
ME134843
FL

Other

Enumeration date
06/17/2015
Last updated
09/09/2019
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