Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | D9639 | OR |
NPI | 1033528724 |
---|---|
Provider Name | Dr. Joseph Jarman |
First Address | Jacksonville, FL 32212-0140 |
Second Address | Jacksonville, FL 32212-0140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2014 |
Last Update Date | 06/08/2014 |