Jody Vicencio Crisostomo in Jacksonville - Physician Assistant
Jody Vicencio Crisostomo - NPI 1700829033
Jody Vicencio Crisostomo is a Physician Assistant in Jacksonville, Florida. Jody Vicencio Crisostomo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jody Vicencio Crisostomo is 1700829033. The last update date is 2008-04-11.
Jody Vicencio Crisostomo's current location address is Po Box 57970, Jacksonville, Florida. You can contact this provider via phone number 9047371838. The mailing address for Jody Vicencio Crisostomo is Po Box 57970, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody Vicencio Crisostomo |
|---|---|
| Address | Po Box 57970, Jacksonville, Florida |
| Phone Number | 9047371838 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1700829033 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2008-04-11 |
Provider Mailing Address Detail
| Address | Po Box 57970 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322417970 |
| Phone Number | 9047371838 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA1911 |
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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 10-digit identification code issued to Jody Vicencio Crisostomo by the Centers for Medicare & Medicaid Services?
The Jody Vicencio Crisostomo has been assigned the NPI (National Provider Identifier) 1700829033 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 Jody Vicencio Crisostomo?
The Jody Vicencio Crisostomo is situated at Po Box 57970, in the city of Jacksonville, state of FL, with the zip code 322417970.
Could you please share the complete physical address where Jody Vicencio Crisostomo is geographically located?
The Jody Vicencio Crisostomo is physically situated at the following location: Po Box 57970, Jacksonville, FL, 322417970.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700829033 to Jody Vicencio Crisostomo?
The Centers for Medicare & Medicaid Services originally issued the 1700829033 to Jody Vicencio Crisostomo on 2006-06-14.
As of what date were the details pertaining to Jody Vicencio Crisostomo last refreshed?
The information related to the Jody Vicencio Crisostomo, including its address, specialty, and other relevant details, was last updated on 2008-04-11.
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