Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAJUAN MONDREESE FORDHAM
Active Sole ProprietorJAJUAN MONDREESE FORDHAM is a Bus healthcare provider located in JACKSONVILLE, Florida. NPI 1376396564 is currently active in the NPPES registry. Verify at CMS.
Bus · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1376396564
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2024 (2.3745888802262 yrs)
- Last Updated
- Apr 8, 2024
- License
-
F635433781060 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5805 RENAULT DR WJACKSONVILLE, FL, 322441390Browse FL providers · Browse ZIP 32244
- Phone
- 9049621491
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. HANI NAIM ALJADA | — | 1548532054 |
| JIMMY HENDERSON | — | 1225458052 |
| JOSEPH NEGRON | — | 1962941088 |
| JERRY L. DURR JR. | — | 1891297446 |
| ERIKA SHUMAN | — | 1497232896 |
| KATHERINE L CRONK | — | 1659835668 |
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.