Dr. Jose Alberto Ettedgui
M.D. | Pediatric Cardiology | Male
Dr. Jose Alberto Ettedgui, M.D. is a Jacksonville, Florida based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Dr. Jose Alberto Ettedgui is
841 Prudential Dr Ste 280, Jacksonville, Florida - 32207-8350. He can be contacted on phone at
904-202-8550 and fax number 904-393-7808.
Dr. Jose Alberto Ettedgui is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jose Alberto Ettedgui is
1316915663 which was assigned by NPPES on 12 Mar, 2006 and it was last updated on 11 May, 2023.
Dr. Jose Alberto Ettedgui license number is
ME86378 for Pediatrics, Pediatric Cardiology (2080P0202X) in Florida.
Dr. Jose Alberto Ettedgui provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. Jose Alberto Ettedgui basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Cardiology |
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| Provider Name : | Dr. Jose Alberto Ettedgui |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Jose Alberto Ettedgui address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 841 Prudential Dr Ste 280
Jacksonville, FL, 32207-8350
United States |
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| Phone Number : | 904-202-8550 |
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| Fax Number : | 904-393-7808 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1316915663 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Mar, 2006 |
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| Last Updated On : | 11 May, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jose Alberto Ettedgui are as mentioned. Primary taxonomy code for Dr. Jose Alberto Ettedgui, M.D. is
2080P0202X (Pediatrics, Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics, Pediatric Cardiology | Yes | ME86378 | FL |
| 208000000X | Pediatrics | No | ME86378 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jose Alberto Ettedgui such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000723269A | MEDICAID | GA | |
| 2637286-00 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 40767
Jacksonville, FL, 32203-0767
United States |
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| Phone Number : | 904-376-3707 |
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Business Location:
Patients can refer following map for directions to
Dr. Jose Alberto Ettedgui practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.