| JD Group | |
|
180 Dakota Ave Apt 57 Santa Cruz CA 95060-6615 | |
| (413) 330-1366 | |
| Not Available |
| Full Name | JD Group |
|---|---|
| Speciality | Nurse Practitioner - Primary Care |
| Location | 180 Dakota Ave Apt 57, Santa Cruz, California |
| Authorized Official Name and Position | John Dunn (OWNER) |
| Authorized Official Contact | 4133301366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| JD Group 3836 Se Dixie Hwy Stuart FL 34997-6055 | JD Group 180 Dakota Ave Apt 57 Santa Cruz CA 95060-6615 Ph: (413) 330-1366 |
| NPI Number | 1912684572 |
|---|---|
| Provider Enumeration Date | 07/05/2023 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912684572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | () | Primary |
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