Provider Demographics
NPI:1023028461
Name:JERKINS, OSCAR HUNT (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:HUNT
Last Name:JERKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955
Mailing Address - Country:US
Mailing Address - Phone:888-974-5556
Mailing Address - Fax:888-974-5557
Practice Address - Street 1:9 ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-2945
Practice Address - Country:US
Practice Address - Phone:888-974-5556
Practice Address - Fax:888-974-5557
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0078606207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL46976OtherBLUE CROSS BLUE SHIELD
FL080193261OtherRR MEDICARE
FLP00950572OtherRAILROAD MEDICARE
FL1902878OtherUNITED HEALTHCARE
FL6237509OtherCIGNA
FL256742300Medicaid
FL7497042OtherAETNA
FLP00950572OtherRAILROAD MEDICARE
FL256742300Medicaid