Jeffrey Paul Radabaugh
Otolaryngologist (ENT Doctor)
836 Prudential Dr Ste 1601
Jacksonville
, Florida 32207-8343
Jeffrey Paul Radabaugh
Otolaryngologist (ENT Doctor)
836 Prudential Dr Ste 1601
Jacksonville
, Florida 32207-8343
(904) 391-5836
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Jeffrey Paul Radabaugh
- Po Box 41516
- Jacksonville, FL
- Zip : 32203-1516
- Fax : (904) 391-5836
- Phone : (904) 202-5111
Second Address
- Jeffrey Paul Radabaugh
- 836 Prudential Dr Ste 1601
- Jacksonville, FL
- Zip : 32207-8343
- Fax : (904) 390-7385
- Phone : (904) 396-8060
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME151381 | FL |
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | R2620 | KY |
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | S4846 | TX |
National Provider Identifier
| NPI | 1073806378 |
|---|---|
| Provider Name | Jeffrey Paul Radabaugh |
| First Address | Jacksonville, FL 32203-1516 |
| Second Address | Jacksonville, FL 32207-8343 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2011 |
| Last Update Date | 04/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.