Root, Jeffrey Robert

Root, Jeffrey Robert is an individual health care provider with primary practice located at 3871 E Highway 98 Ste 200 , Port St Joe FL 32456-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Root, Jeffrey Robert can be contacted via phone (850) 229-5833.

Contact Information

Primary practice address
3871 E Highway 98 Ste 200 Port St Joe FL 32456-5302
Phone: (850) 229-5833
Fax: (850) 229-5832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME159955 Florida

Profile Details

NPI number 1811175326
LBN Legal business name Root, Jeffrey Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated Jul 19th, 2023 - about 3 years ago

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 1811175326 NPPES
California Other 11952742 CAQH PROVIDER ID

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