Provider Demographics
NPI:1376887661
Name:JEFFRY, HANY M (DPM)
Entity Type:Individual
Prefix:
First Name:HANY
Middle Name:M
Last Name:JEFFRY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:96098 VICTORIAS PL
Mailing Address - Street 2:
Mailing Address - City:YULEE
Mailing Address - State:FL
Mailing Address - Zip Code:32097-6349
Mailing Address - Country:US
Mailing Address - Phone:904-432-7309
Mailing Address - Fax:904-432-7281
Practice Address - Street 1:96098 VICTORIAS PL
Practice Address - Street 2:
Practice Address - City:YULEE
Practice Address - State:FL
Practice Address - Zip Code:32097-6349
Practice Address - Country:US
Practice Address - Phone:904-432-7309
Practice Address - Fax:904-432-7281
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPO3689213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery