Jennifer Sally Waldon
NEPTUNE BEACH SURGICAL SPECIALISTS LLC


Address: 3625 Univ Blvd S, Jacksonville, FL 32216-4207
Phone: 9047026111

Jennifer Sally Waldon (NPI# 1629510599, PAC ID# 5294017588) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1629510599
PAC ID by PECOS 5294017588
Professional Enrollment ID I20170120002613
Full Name Jennifer Sally Waldon
Organization Legal Name NEPTUNE BEACH SURGICAL SPECIALISTS LLC
Address 3625 Univ Blvd S
Jacksonville
FL 32216-4207
Phone Number 9047026111
Gender F
Graduation Year 2016
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 1355626789
Number of Group Practice Members 21
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100179 MEMORIAL HOSPITAL JACKSONVILLE

Other Locations

Address Phone Organization
3625 Univ Blvd S, Jacksonville, FL 32216-4207 9047026111 NEPTUNE BEACH SURGICAL SPECIALISTS LLC
3627 University Blvd S, Suite 305, Jacksonville, FL 32216-4294 2147122444 NEPTUNE BEACH SURGICAL SPECIALISTS LLC

Organization Information

Organization Legal Name NEPTUNE BEACH SURGICAL SPECIALISTS LLC
Physicians 16

Physicians with the same organization

Name Specialty Organization Address
Joshua Yeykal General Surgery Neptune Beach Surgical Specialists LLC 3627 University Blvd S, Suite 305, Jacksonville, FL 32216-4294
Radu Gheorghe Physician Assistant Neptune Beach Surgical Specialists LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207
Igor J Alvarez-forte Physician Assistant Neptune Beach Surgical Specialists LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207
Randall B Fulford Physician Assistant Neptune Beach Surgical Specialists LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207
John M Hale Physician Assistant Neptune Beach Surgical Specialists LLC 3627 University Blvd S, Suite 305, Jacksonville, FL 32216-4294
Terry K Mckinney General Surgery Neptune Beach Surgical Specialists LLC 3627 University Blvd S, Suite 305, Jacksonville, FL 32216-4294
Hayley G Patridge Physician Assistant Neptune Beach Surgical Specialists LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207
Pamela L.p. Melera General Surgery Neptune Beach Surgical Specialists LLC 3627 University Blvd S, Suite 305, Jacksonville, FL 32216-4294
Sylvester Paulasir General Surgery Neptune Beach Surgical Specialists LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207
Michael P Heid General Surgery Neptune Beach Surgical Specialists LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207

Office Location

Street Address 3625 UNIV BLVD S
City JACKSONVILLE
State FL
Zip 32216-4207

Physicians in the same location

Name Specialty Organization Address
Lateya Foxx Neuropsychiatry Memorial Family Practice Associates, LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207
Georganna Michelle Rosel Emergency Medicine Paragon Emergency Services LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207
David R Davis Emergency Medicine Paragon Emergency Services LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207
John D Deperi General Surgery Memorial Family Practice Associates, LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207
Aarian P Afshari Emergency Medicine Paragon Emergency Services LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207
Radu Gheorghe Physician Assistant Neptune Beach Surgical Specialists LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207
James Delano Hayes Jr. Emergency Medicine Paragon Emergency Services LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207
Janet L Rustia Certified Registered Nurse Anesthetist (crna) Anesthesia Physician Solutions of Florida, LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207
Moira P Petirs Emergency Medicine Paragon Emergency Services LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207
Courtney R King Nurse Practitioner Paragon Emergency Services LLC 3625 Univ Blvd S, Jacksonville, FL 32216-4207
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Physicians in the same zip code

Name Specialty Organization Address
Eula B Kovacs Clinical Social Worker 7035 Phillips Hwy, Suite 38, Jacksonville, FL 32216
Rebecca K Reza Nurse Practitioner Iah of Florida, LLC 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903
Jessica Lynn Burkett Nurse Practitioner Iah of Florida, LLC 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903
Diana C Maccario Family Medicine Iah of Florida, LLC 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903
Vonda Marie Love Nurse Practitioner Rmed LLC 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903
John Paul Guercio Internal Medicine Iah of Florida, LLC 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903
Guilad Pribluda Internal Medicine Iah of Florida, LLC 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903
Bhavesh S Patel Internal Medicine Iah of Florida, LLC 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903
Arnel Larcia Internal Medicine Rmed LLC 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903
Kelly Bingham Traylor Nurse Practitioner Iah of Florida, LLC 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903
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Competitor

Search similar physicians

City JACKSONVILLE
Zip Code 32216
Specialty PHYSICIAN ASSISTANT
City + Specialty JACKSONVILLE + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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