Jeremy Caudill Do

LBN: Jeremy Caudill Do
Jeremy Caudill Do is an health care organization with primary practice located at 2460 Old Moultrie Rd Ste 3 , St Augustine FL 32086-4198. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Jeremy Caudill Do can be contacted via phone (904) 797-6627, or through Caudill, Jeremy Alan via phone (904) 797-6627.

Contact Information

Primary practice address
2460 Old Moultrie Rd Ste 3 St Augustine FL 32086-4198
Phone: (904) 797-6627
Fax: (888) 640-9997
Website:
Map and Directions
Authorized official contact:
Name: Caudill, Jeremy Alan Doctor of Osteopathy (DO)
Phone: (904) 797-6627

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS10861 Florida

Profile Details

NPI number 1437684032
LBN Legal business name Jeremy Caudill Do
DBA Doing business as
Authorized official Caudill, Jeremy Alan Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2017
Last updated Jun 1st, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437684032 NPPES
Florida Other OS10861 MEDICAL LICENSE

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