Joel Everett in Daytona Beach - Physician Assistant

Joel Everett - NPI 1710195607

Joel Everett is a Physician Assistant in Daytona Beach, Florida. Joel Everett practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Joel Everett is 1710195607. The last update date is 2019-08-19.

Joel Everett's current location address is 303 N Clyde Morris Blvd, Daytona Beach, Florida. You can contact this provider via phone number 3864250141 and fax number 3862264577. The mailing address for Joel Everett is 303 N Clyde Morris Blvd, Daytona Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Joel Everett
Address 303 N Clyde Morris Blvd, Daytona Beach, Florida
Phone Number 3864250141
Fax Number 3862264577
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1710195607
Provider Enumeration Date 2007-05-21
Last Updated Date 2019-08-19

Provider Mailing Address Detail

Address 303 N Clyde Morris Blvd
City Daytona Beach
State Florida (FL)
Post Code 321142709
Phone Number 3864250141
Fax Number 3862264577

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA0003272
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
94854 FL BCBS GROUP#
1275640997 FL GROUP NPI

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FAQs about Joel Everett

What is the unique identifier code issued to Joel Everett by the Centers for Medicare & Medicaid Services?

The Joel Everett has been assigned the NPI (National Provider Identifier) 1710195607. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Joel Everett is geographically located?

The Joel Everett is physically situated at the following location: 303 N Clyde Morris Blvd, Daytona Beach, FL, 321142709.

What is Joel Everett's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Joel Everett is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did Joel Everett receive its 1710195607 assignment from the Centers for Medicare & Medicaid Services?

The Joel Everett was assigned its 1710195607 on 2007-05-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Joel Everett most recently updated?

The details pertaining to the Joel Everett, including its address, specialty, and other relevant information, were last refreshed on 2019-08-19.

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