Dr Edward Brian Jorgensen, DO | |
14114 Alabama St, Jay Hospital, Jay, FL 32565 | |
(850) 675-8035 | |
Not Available |
Full Name | Dr Edward Brian Jorgensen |
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Gender | Male |
Speciality | Family Medicine |
Location | 14114 Alabama St, Jay, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356325963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS6227 (Florida) | Primary |
204D00000X | Neuromusculoskeletal Medicine & Omm | OS6227 (Florida) | Secondary |
Entity Name | Jay Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518071562 PECOS PAC ID: 3577466325 Enrollment ID: O20040129000235 |
Mailing Address | Practice Location Address |
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Dr Edward Brian Jorgensen, DO 14114 Alabama St, Jay Hospital, Jay, FL 32565 Ph: (850) 675-8035 | Dr Edward Brian Jorgensen, DO 14114 Alabama St, Jay Hospital, Jay, FL 32565 Ph: (850) 675-8035 |
Mark James Elder, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3887 Scotts Plaza Dr, Jay, FL 32565 Phone: 850-981-0320 Fax: 850-981-0911 | |
John-stewart Michael Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14088 Alabama St, Jay, FL 32565 Phone: 850-675-4546 Fax: 850-675-4548 | |
Cleatious David Smith, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 14088 Alabama St, Jay, FL 32565 Phone: 850-675-4546 Fax: 850-675-4548 |