Burton H. Mendel in Jacksonville - Physician Assistant
Burton H. Mendel - NPI 1306861240
Burton H. Mendel is a Physician Assistant in Jacksonville, Florida. Burton H. Mendel practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Burton H. Mendel is 1306861240. The last update date is 2007-07-09.
Burton H. Mendel's current location address is 11513 N Main St, Jacksonville, Florida. You can contact this provider via phone number 9047516200 and fax number 9047511600. The mailing address for Burton H. Mendel is 11513 N Main St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Burton H. Mendel |
|---|---|
| Address | 11513 N Main St, Jacksonville, Florida |
| Phone Number | 9047516200 |
| Fax Number | 9047511600 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1306861240 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 11513 N Main St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322184002 |
| Phone Number | 9047516200 |
| Fax Number | 9047511600 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 1919 |
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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 unique identification code assigned to Burton H. Mendel by the Centers for Medicare & Medicaid Services?
The Burton H. Mendel has been issued the NPI (National Provider Identifier) 1306861240. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Burton H. Mendel is located?
The Burton H. Mendel is situated at the following address: 11513 N Main St, Jacksonville, FL, 322184002.
What is the Burton H. Mendel's specialty and taxonomy code?
The Burton H. Mendel's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did Burton H. Mendel receive its 1306861240 assignment from the Centers for Medicare & Medicaid Services?
The Burton H. Mendel was assigned its 1306861240 on 2006-07-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Burton H. Mendel most recently updated or revised?
The details related to Burton H. Mendel, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.