Joe B Putnam JR.
Cardiothoracic Vascular Surgeon
1301 Palm Ave
Jacksonville
, Florida 32207-8432
Joe B Putnam JR.
Cardiothoracic Vascular Surgeon
1301 Palm Ave
Jacksonville
, Florida 32207-8432
(904) 393-7603
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Joe B Putnam JR.
- Po Box 45278
- Jacksonville, FL
- Zip : 32232-5278
- Fax : (904) 393-7603
- Phone : (904) 202-2092
Second Address
- Joe B Putnam JR.
- 1301 Palm Ave
- Jacksonville, FL
- Zip : 32207-8432
- Fax : (904) 202-7433
- Phone : (904) 202-7300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME125498 | FL |
National Provider Identifier
| NPI | 1073600193 |
|---|---|
| Provider Name | Joe B Putnam JR. |
| First Address | Jacksonville, FL 32232-5278 |
| Second Address | Jacksonville, FL 32207-8432 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2006 |
| Last Update Date | 01/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 015728000 | (05) | FL |
| C20734 | (02) |
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.