JAY MAGGIORE M.D. NPI 1114019361

NPI Information

NPI: 1114019361
Provider Name: JAY MAGGIORE, M.D.
Classification: Clinic/Center - 261QF0400X
Entity Type: Individual

Specialization: Federally Qualified Health Center (FQHC)

Address:
707 JENKS AVE
SUITE A
PANAMA CITY, FL
ZIP 32401
Phone: (850) 747-5272
Get Directions

Jay Maggiore, M.D. is a federally qualified health center (fqhc) clinic center in Panama City, FL. Jay Maggiore, M.D. NPI is 1114019361. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

707 JENKS AVE
SUITE A
PANAMA CITY, FL
ZIP 32401-586
Phone: (850) 747-5272
Fax: (850) 747-5274

The enumeration date for this NPI number is 9/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes
2	207Q00000X	Family Medicine		ME22443	FLORIDA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D54570	MEDICARE UPIN	FLORIDA
2	37192	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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