Deborah C Pendry in Jacksonville - Physician Assistant
Deborah C Pendry - NPI 1720049448
Deborah C Pendry is a Physician Assistant in Jacksonville, Florida. Deborah C Pendry practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Deborah C Pendry is 1720049448. The last update date is 2013-08-02.
Deborah C Pendry's current location address is Po Box 44008, Jacksonville, Florida. You can contact this provider via phone number 9042443199 and fax number 9042443425. The mailing address for Deborah C Pendry is Po Box 44008, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah C Pendry |
|---|---|
| Address | Po Box 44008, Jacksonville, Florida |
| Phone Number | 9042443199 |
| Fax Number | 9042443425 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1720049448 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2013-08-02 |
Provider Mailing Address Detail
| Address | Po Box 44008 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322314008 |
| Phone Number | 9042443199 |
| Fax Number | 9042443425 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA1784 |
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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 |
|---|---|---|---|
| 2906830-00 | FL | -- | |
| 219840818B | GA | -- | |
| 219840818C | GA | -- |
Post Comment/ Review Below
Could you share the physical location details of Deborah C Pendry?
The Deborah C Pendry is situated at Po Box 44008, in the city of Jacksonville, state of FL, with the zip code 322314008.
Could you please share the complete physical address where Deborah C Pendry is geographically located?
The Deborah C Pendry is physically situated at the following location: Po Box 44008, Jacksonville, FL, 322314008.
What is Deborah C Pendry's area of expertise and its corresponding taxonomy classification?
The Deborah C Pendry's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did Deborah C Pendry receive its 1720049448 assignment?
The Deborah C Pendry was assigned its 1720049448 on 2006-03-31, 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 1720049448 to Deborah C Pendry?
The Centers for Medicare & Medicaid Services originally issued the 1720049448 to Deborah C Pendry on 2006-03-31.