FIRST CHOICE FAMILY PRACTICE PA
Physician Assistant at Wells Rd, Orange Park, FL

License number
Florida OS7923
Category
Osteopathic Medicine
Type
Family Medicine
License number
Florida ME0052191
Category
Osteopathic Medicine
Type
Family Medicine
License number
Florida PA9101422
Category
Nursing
Type
Physician Assistant
License number
Florida PA2719
Category
Nursing
Type
Physician Assistant
Owner
Name: JAMES CANNON
Title: ADMINISTRATOR
Phone: (904) 269-2900
Address
Address
550 Wells Rd SUITE 17, Orange Park, FL 32073
National Provider ID: 1568514503
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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First Choice Family Practice, PA

Orange Park, FL

Registration:
Feb 13, 2002
Addresses:
550 Wl Rd, Orange Park, FL 32073
550 17 Wl Rd, Orange Park, FL 32073
State ID:
P02000016798
Business type:
Domestic for Profit Corporation
Director:
Barbara C. Cannon (Director)

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