Wille E Andre in Jacksonville - Physician Assistant

Wille E Andre - NPI 1639277734

Wille E Andre is a Physician Assistant in Jacksonville, Florida. Wille E Andre practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Wille E Andre is 1639277734. The last update date is 2007-07-08.

Wille E Andre's current location address is 9550-9 Baymeadows Road, Jacksonville, Florida. You can contact this provider via phone number 9047397398 and fax number 9047393888. The mailing address for Wille E Andre is 9550-9 Baymeadows Road, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Wille E Andre
Address 9550-9 Baymeadows Road, Jacksonville, Florida
Phone Number 9047397398
Fax Number 9047393888
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1639277734
Provider Enumeration Date 2006-09-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9550-9 Baymeadows Road
City Jacksonville
State Florida (FL)
Post Code 32256
Phone Number 9047397398
Fax Number 9047393888

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA100948
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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FAQs about Wille E Andre

What is the unique provider identifier assigned to Wille E Andre?

The Wille E Andre has been issued the NPI (National Provider Identifier) 1639277734 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Wille E Andre is geographically located?

The Wille E Andre is physically situated at the following location: 9550-9 Baymeadows Road, Jacksonville, FL, 32256.

What is Wille E Andre's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Wille E Andre's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did Wille E Andre receive its 1639277734 assignment from the Centers for Medicare & Medicaid Services?

The Wille E Andre was assigned its 1639277734 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Wille E Andre most recently updated or refreshed?

The details pertaining to the Wille E Andre, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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