Sidey, Jennifer Marie

Sidey, Jennifer Marie is an individual health care provider with primary practice located at 1689 Eagle Harbor Pkwy Ste A , Fleming Island FL 32003-4817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sidey, Jennifer Marie can be contacted via phone (904) 269-1366.

Contact Information

Primary practice address
1689 Eagle Harbor Pkwy Ste A Fleming Island FL 32003-4817
Phone: (904) 269-1366
Fax: (904) 264-9750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME145451 Florida

Profile Details

NPI number 1518496975
LBN Legal business name Sidey, Jennifer Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2017
Last updated Sep 16th, 2022 - about 4 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 1518496975 NPPES
Florida MEDICAID 110565000

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