Mrs. Letisha Renee Brazile Jefferson
MD | Pediatrics | Female
Mrs. Letisha Renee Brazile Jefferson, MD is a Jacksonville, Florida based Pediatric doctor with medical specialization in
General Pediatrics. Mrs. Letisha Renee Brazile Jefferson is also known as
Letisha Renee Brazile.
Current practice location of Mrs. Letisha Renee Brazile Jefferson is
2121 Park St, Jacksonville, Florida - 32204-3811. She can be contacted on phone at
904-387-6200.
Mrs. Letisha Renee Brazile Jefferson is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Letisha Renee Brazile Jefferson is
1184914053 which was assigned by NPPES on 13 Apr, 2011 and it was last updated on 18 Jan, 2018.
Mrs. Letisha Renee Brazile Jefferson license number is
ME123225 for Pediatrics (208000000X) in Florida.
Mrs. Letisha Renee Brazile Jefferson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mrs. Letisha Renee Brazile Jefferson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mrs. Letisha Renee Brazile Jefferson |
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| Other Name : | Letisha Renee Brazile |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mrs. Letisha Renee Brazile Jefferson 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 : | 2121 Park St
Jacksonville, FL, 32204-3811
United States |
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| Phone Number : | 904-387-6200 |
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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 : | 1184914053 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Apr, 2011 |
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| Last Updated On : | 18 Jan, 2018 |
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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 Mrs. Letisha Renee Brazile Jefferson are as mentioned. Primary taxonomy code for Mrs. Letisha Renee Brazile Jefferson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME123225 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Letisha Renee Brazile Jefferson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 014578800 | 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 : | 2121 Park St
Jacksonville, FL, 32204-3811
United States |
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| Phone Number : | 904-387-6200 |
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Business Location:
Patients can refer following map for directions to
Mrs. Letisha Renee Brazile Jefferson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.