Dr. Jose Enrique Irazuzta
M.D. | Pediatric Critical Care Medicine | Male
Dr. Jose Enrique Irazuzta, M.D. is a Jacksonville, Florida based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Jose Enrique Irazuzta is
800 Prudential Dr, Ufjp Pediatric Critical Care Medicine, Jacksonville, Florida - 32207-8202. He can be contacted on phone at
904-202-8758 and fax number 904-306-9884.
Dr. Jose Enrique Irazuzta is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jose Enrique Irazuzta is
1902867039 which was assigned by NPPES on 29 Mar, 2006 and it was last updated on 30 Mar, 2010.
Dr. Jose Enrique Irazuzta license number is
ME92195 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Florida.
Dr. Jose Enrique Irazuzta is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. Jose Enrique Irazuzta basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Dr. Jose Enrique Irazuzta |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Jose Enrique Irazuzta 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 : | 800 Prudential Dr, Ufjp Pediatric Critical Care Medicine
Jacksonville, FL, 32207-8202
United States |
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| Phone Number : | 904-202-8758 |
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| Fax Number : | 904-306-9884 |
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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 : | 1902867039 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Mar, 2006 |
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| Last Updated On : | 30 Mar, 2010 |
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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 Enrique Irazuzta are as mentioned. Primary taxonomy code for Dr. Jose Enrique Irazuzta, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | ME92195 | FL |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | ME92195 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jose Enrique Irazuzta such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 229619568A | MEDICAID | GA | |
| 2716038-00 | 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 44008, Ufjp Provider Enrollment
Jacksonville, FL, 32231-4008
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Jose Enrique Irazuzta practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.