Jacqueline Squire, MD Valid NPI
Individual provider · Allergy & Immunology (Internal Medicine) Physician · Jacksonville, FL
- NPI
- 1710373758
- Type
- Individual (Type 1)
- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207RA0201X
- License number
- ME136920 (FL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-04-07
- Last updated
- 2020-08-31
Practice location
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
(904) 953-2000