Paul Pettit in Jacksonville - Female Pelvic Medicine And Reconstructive Surgery
Paul Pettit - NPI 1689663304
Paul Pettit is a Female Pelvic Medicine And Reconstructive Surgery in Jacksonville, Florida. Paul Pettit practices all healthcare services and medical treatments related to Female Pelvic Medicine And Reconstructive Surgery. The NPI Number for Paul Pettit is 1689663304. The last update date is 2021-03-24.
Paul Pettit's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Paul Pettit is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Pettit |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1689663304 |
|---|---|
| Provider Enumeration Date | 2005-10-15 |
| Last Updated Date | 2021-03-24 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Female Pelvic Medicine And Reconstructive Surgery |
|---|---|
| Taxonomy | 207Vf0040X |
| Licence No | ME48610 |
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Definition: A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with compl |
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What is the Paul Pettit's unique identification number?
The Paul Pettit has been assigned the NPI (National Provider Identifier) Number 1689663304 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Paul Pettit's physical address?
The Paul Pettit is physically located at 4500 San Pablo Rd S, in the city of Jacksonville, FL, with the postal code 322241865.
What is Paul Pettit's specialized field of practice, and what is the corresponding taxonomy classification code?
The Paul Pettit's area of specialization is Female Pelvic Medicine And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Vf0040X.
On what date did the Centers for Medicare & Medicaid Services issue the 1689663304 to Paul Pettit?
The Paul Pettit received its 1689663304 assignment from the Centers for Medicare & Medicaid Services on 2005-10-15.
When was the information regarding Paul Pettit, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Paul Pettit, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-03-24.