EDNER J JEAN-JACQUES

FLORIDA DEPARTMENT OF HEALTH

Dr EDNER J JEAN-JACQUES is a male medical professional, specializing in Internal Medicine. He graduated in 1966.

Contact

FLORIDA DEPARTMENT OF HEALTH

38754 STATE RD
SUITE 80
BELLE GLADE
FL
334305615

Tel: 5619961600111

EDNER J JEAN-JACQUES Information

Npi 1487699518
Pac Id 9638263254
Professional Enrollment Id I20070913000283
Last Name JEAN-JACQUES
First Name EDNER
Middle Name J
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1966
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FLORIDA DEPARTMENT OF HEALTH
Group Practice Pac Id 3072424282
Number Of Group Practice Members 141
Line 1 Street Address 38754 STATE RD
Line 2 Street Address SUITE 80
Marker Of Address Line 2 Suppression
City BELLE GLADE
State FL
Zip Code 334305615
Phone Number 5619961600111
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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