Renee Marie Tebon in Jacksonville - Physician Assistant
Renee Marie Tebon - NPI 1811172794
Renee Marie Tebon is a Physician Assistant in Jacksonville, Florida. Renee Marie Tebon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Renee Marie Tebon is 1811172794. The last update date is 2022-05-05.
Renee Marie Tebon's current location address is 655 W 8th St, Jacksonville, Florida. You can contact this provider via phone number 9042447753 and fax number 9042446742. The mailing address for Renee Marie Tebon is 655 W 8th St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renee Marie Tebon |
|---|---|
| Address | 655 W 8th St, Jacksonville, Florida |
| Phone Number | 9042447753 |
| Fax Number | 9042446742 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1811172794 |
|---|---|
| Provider Enumeration Date | 2008-01-09 |
| Last Updated Date | 2022-05-05 |
Provider Mailing Address Detail
| Address | 655 W 8th St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322096511 |
| Phone Number | 9042447753 |
| Fax Number | 9042446742 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9115150 |
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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 Renee Marie Tebon's 1811172794?
The Renee Marie Tebon's NPI (National Provider Identifier) Number is 1811172794. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Renee Marie Tebon's physical address?
The Renee Marie Tebon is physically located at 655 W 8Th St, in the city of Jacksonville, FL, with the postal code 322096511.
What is the Renee Marie Tebon's specialty and taxonomy code?
The Renee Marie Tebon's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811172794 to Renee Marie Tebon?
The Centers for Medicare & Medicaid Services assigned the 1811172794 to Renee Marie Tebon on 2008-01-09.
When was the information related to Renee Marie Tebon most recently updated or refreshed?
The details pertaining to the Renee Marie Tebon, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-05-05.
NPI Number: 1902802911
Address: 5593 Stewart St, Milton, FL