Brian Franklin Petrine in Jacksonville - Physician Assistant
Brian Franklin Petrine - NPI 1255503843
Brian Franklin Petrine is a Physician Assistant in Jacksonville, Florida. Brian Franklin Petrine practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brian Franklin Petrine is 1255503843. The last update date is 2020-10-09.
Brian Franklin Petrine'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 Brian Franklin Petrine is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Franklin Petrine |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1255503843 |
|---|---|
| Provider Enumeration Date | 2008-03-24 |
| Last Updated Date | 2020-10-09 |
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 | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9104481 |
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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 |
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What is the Brian Franklin Petrine's 1255503843?
The Brian Franklin Petrine's NPI (National Provider Identifier) Number is 1255503843. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Brian Franklin Petrine's facilities are situated?
The facilities of Brian Franklin Petrine are physically located at the following address: 4500 San Pablo Rd S, Jacksonville, FL, 322241865.
What is the Brian Franklin Petrine's specialty and taxonomy code?
The Brian Franklin Petrine's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255503843 to Brian Franklin Petrine?
The Brian Franklin Petrine received its 1255503843 assignment from the Centers for Medicare & Medicaid Services on 2008-03-24.
When was the information regarding Brian Franklin Petrine, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brian Franklin Petrine, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-10-09.
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