Search › Florida › 343900000X
Jajuan Fordham
NPI 1376396564 · on the registry since 2024 · sole proprietor
Practice
- Address
- 5805 Renault Dr W
Jacksonville, FL 32244 - Phone
- (904) 962-1491
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida