JERRY ALAN BRIDGHAM

JACKSONVILLE, FL
NPI1740361336
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080A0000X Pediatrics, Adolescent Medicine
(Licence: FL  ME49397)
Enumeration Date2006-10-18
Last Update Date2015-11-19
Business Address
-- JERRY ALAN BRIDGHAM MD
14810 OLD SAINT AUGUSTINE RD STE 106 CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32258-2558
Phone number: 904-268-7701
Mailing Address
-- JERRY ALAN BRIDGHAM MD
PO BOX 44004
JACKSONVILLE, FL 32231-4004
Phone number: 904-202-1032
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