Doctor Name: | DR. JOSE ALBERTO ETTEDGUI |
NPI Number: | 1316915663 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME86378 |
Business Practice Address: | 841 Prudential Dr Ufjp Pediatric Cardiovascular Center Jacksonville, FL - 322078329 |
Business Phone Number: | 9044931610 |
Business Fax Number: | 9044932363 |
Mailing Address: | Po Box 44008, Ufjp Provider Enrollment JACKSONVILLE |
State: | FL |
Postal Code: | 322314008 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/12/2006 |
NPI Last Update Date: | 12/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | ME86378 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician 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. |