Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY TAVORNWATTANA
ActiveJERRY TAVORNWATTANA is a Emergency Medicine healthcare provider located in JACKSONVILLE, Florida. NPI 1093177982 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1093177982
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2016 (10.405544280941 yrs)
- Last Updated
- Jun 5, 2019
- License
-
ME140761 (FL)
Practice Information
- Address
-
655 W 8TH ST # C506JACKSONVILLE, FL, 322096511Browse FL providers · Browse ZIP 32209
- Phone
- 9042443817
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. EMILY FONTANE | MD | 1972504355 |
| DR. ALEXANDER SCOTT BERK | M.D. | 1699777151 |
| MR. CARLOS BARBERIS | MD | 1598750564 |
| BRADLEY BRAGG | MD | 1093701443 |
| FRANK H GILBERSTADT | MD | 1780670083 |
| WILLIAM G DIETRICH | MD | 1952397036 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.