Madden, Jennifer L

Madden, Jennifer L is an individual health care provider with primary practice located at 45 Groover Loop Ste 201 , St Augustine FL 32086-6586. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is her primary health care specialty. Madden, Jennifer L can be contacted via phone (904) 634-0640.

Contact Information

Primary practice address
45 Groover Loop Ste 201 St Augustine FL 32086-6586
Phone: (904) 634-0640
Fax: (904) 634-0203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME99389 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X ME99389 Florida
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X ME99389 Florida
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X ME99389 Florida

Profile Details

NPI number 1619995388
LBN Legal business name Madden, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 28th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619995388 NPPES
Florida MEDICAID 024284600
Florida MEDICAID 279103000
Florida Other P00433235

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