Marly Harlan in Jacksonville - Physician Assistant
Marly Harlan - NPI 1417994799
Marly Harlan is a Physician Assistant in Jacksonville, Florida. Marly Harlan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marly Harlan is 1417994799. The last update date is 2007-12-26.
Marly Harlan'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 Marly Harlan is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marly Harlan |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C, MPAS |
NPI Number Detail
| NPI Number | 1417994799 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2007-12-26 |
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 | 1647 |
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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 |
|---|---|---|---|
| PA9104139 | FL | STATE PA LICENSE | |
| 1647 | IA | STATE PA MEDICAL LICENSE | |
| AG592Z | FL | MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Marly Harlan by the Centers for Medicare & Medicaid Services?
The Marly Harlan has been assigned the NPI (National Provider Identifier) 1417994799. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Marly Harlan's facilities are situated?
The facilities of Marly Harlan are physically located at the following address: 4500 San Pablo Rd S, Jacksonville, FL, 322241865.
What is the area of specialization for Marly Harlan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marly Harlan is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Marly Harlan receive the assignment of its 1417994799 from the Centers for Medicare & Medicaid Services?
The Marly Harlan was issued its 1417994799 by the Centers for Medicare & Medicaid Services on 2006-06-02.
As of what date was the information pertaining to Marly Harlan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marly Harlan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-26.
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