person
Jerry Alan Bridgham, MD
Pediatric Adolescent Medicine Physician in Jacksonville, Florida
NPI 1740361336

Jerry Alan Bridgham is a Pediatric Adolescent Medicine Physician based in Jacksonville, FL and is specialized in Adolescent Medicine. Jerry Alan Bridgham practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Jerry Alan Bridgham is 1740361336 and holds a License No. ME49397 (Florida).

The current practice location address for Jerry Alan Bridgham is 14810 Old Saint Augustine Rd Ste 106, Jacksonville, FL and can be reached out via phone at 904-268-7701 and via fax at 904-268-9708. You can also correspond with Jerry Alan Bridgham through the mailing address at PO BOX 44004, JACKSONVILLE, FL - 32231-4004 (mailing address contact number: 904-202-1032).

Location: 14810 Old Saint Augustine Rd Ste 106, Jacksonville, FL, 32231-4004
person
Provider Profile Details
NPI Number
1740361336
Provider Name
Jerry Alan Bridgham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14810 Old Saint Augustine Rd Ste 106, Jacksonville, FL, 32231-4004
Phone Number
904-268-7701
Fax Number
904-268-9708
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3747107-00 05 FL
institution
Provider Business Practice Location Address Details
Address
14810 Old Saint Augustine Rd Ste 106
City
State
Zip
32258-2558
Phone Number
904-268-7701
Fax Number
904-268-9708
person
Provider Business Mailing Address Details
Address
14810 Old Saint Augustine Rd Ste 106
City
State
Zip
32258-2558
Phone Number
904-268-7701
Fax Number
904-268-9708
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
ME49397 (Florida)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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