IAN S CACCAM
Physician at Ashridge Dr, Jacksonville, FL

License number

Florida 3188

Issued Date

May 12, 2000

Effective Date

May 30, 2003

Expiration Date

May 12, 2004

Organization information

See more information about IAN S CACCAM at bizstanding.com

IAN S. CACCAM, M.D., PA

Jacksonville, FL

Status:

Inactive

Industry:

Medical Doctor's Office

Inactive reason:

CANCEL ADM DISS/REV

Registration:

Nov 20, 2003

Inactive since:

Oct 17, 2005

Addresses:

1958 Riv Rd, Jacksonville, FL 32207 (Physical)
1706 Belmonte Ave, Jacksonville, FL 32207
1711 Belmonte Ave, Jacksonville, FL 32207

State ID:

P03000137075

Business type:

Florida Profit Corporation

Director:

Ian Smd Caccam (Director), 1958 Riv Rd, Jacksonville, FL 32207 (Physical)

Agent:

Ian Caccam,1958 Riv Rd, Jacksonville, FL 32207 (Physical)

EIN:

562422875

Professional information

Ian Sanpedro Caccam, Jacksonville FL

Specialties:

Emergency Medicine Physician

Address:

800 Prudential Dr, Jacksonville, FL 32207

Education:

Doctor of Medicine

Board certifications:

American Board of Emergency Medicine Certification in Emergency Medicine

Dr. Ian S Caccam, Jacksonville FL - MD (Doctor of Medicine)

Specialties:

Emergency Medicine

Age:

Address:

820 Prudential Dr STE 713, Jacksonville 32207
(904) 396-5682 (Phone)
Emergency Resources Group
800 Prudential Dr, Jacksonville 32207
(904) 396-5682 (Phone)

Certifications:

Emergency Medicine, 2004

Awards:

Healthgrades Honor Roll

Languages:

English

Hospitals:

820 Prudential Dr STE 713, Jacksonville 32207
Emergency Resources Group
800 Prudential Dr, Jacksonville 32207
Baptist Medical Center
800 Prudential Dr, Jacksonville 32207

Education:

Medical School
University Of Florida College Of Medicine
Graduated: 2000
University Of Fl College Of Med