Cherisse Ragasa Mabe in Jacksonville - Physician Assistant
Cherisse Ragasa Mabe - NPI 1245202167
Cherisse Ragasa Mabe is a Physician Assistant in Jacksonville, Florida. Cherisse Ragasa Mabe practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Cherisse Ragasa Mabe is 1245202167. The last update date is 2014-09-17.
Cherisse Ragasa Mabe's current location address is 655 W 8th St, Jacksonville, Florida. You can contact this provider via phone number 9042446340 and fax number 9042444508. The mailing address for Cherisse Ragasa Mabe is 655 W 8th St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cherisse Ragasa Mabe |
|---|---|
| Address | 655 W 8th St, Jacksonville, Florida |
| Phone Number | 9042446340 |
| Fax Number | 9042444508 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1245202167 |
|---|---|
| Provider Enumeration Date | 2006-02-03 |
| Last Updated Date | 2014-09-17 |
Provider Mailing Address Detail
| Address | 655 W 8th St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322096511 |
| Phone Number | 9042446340 |
| Fax Number | 9042444508 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9100665 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2921014-00 | FL | -- | |
| 436407997B | GA | -- | |
| 436047997A | GA | -- |
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What is the unique provider identifier assigned to Cherisse Ragasa Mabe?
The Cherisse Ragasa Mabe has been issued the NPI (National Provider Identifier) 1245202167 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is the unique 10-digit identification code issued to Cherisse Ragasa Mabe by the Centers for Medicare & Medicaid Services?
The Cherisse Ragasa Mabe has been assigned the NPI (National Provider Identifier) 1245202167 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Cherisse Ragasa Mabe?
The Cherisse Ragasa Mabe is situated at 655 W 8Th St, in the city of Jacksonville, state of FL, with the zip code 322096511.
When did Cherisse Ragasa Mabe receive its 1245202167 assignment?
The Cherisse Ragasa Mabe was assigned its 1245202167 on 2006-02-03, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245202167 to Cherisse Ragasa Mabe?
The Centers for Medicare & Medicaid Services originally issued the 1245202167 to Cherisse Ragasa Mabe on 2006-02-03.