Nicolas Charles Condrey in Jacksonville - Medical
Nicolas Charles Condrey - NPI 1659548949
Nicolas Charles Condrey is a Medical in Jacksonville, Florida. Nicolas Charles Condrey practices all healthcare services and medical treatments related to Medical. The NPI Number for Nicolas Charles Condrey is 1659548949. The last update date is 2015-11-16.
Nicolas Charles Condrey's current location address is Po Box 43667, Jacksonville, Florida. You can contact this provider via phone number 9043983760 and fax number 9042415492. The mailing address for Nicolas Charles Condrey is Po Box 43667, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicolas Charles Condrey |
|---|---|
| Address | Po Box 43667, Jacksonville, Florida |
| Phone Number | 9043983760 |
| Fax Number | 9042415492 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1659548949 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2015-11-16 |
Provider Mailing Address Detail
| Address | Po Box 43667 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322033667 |
| Phone Number | 9043983760 |
| Fax Number | 9042415492 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9104578 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12730800 | FL | -- |
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What is the unique 10-digit identifier code issued to Nicolas Charles Condrey by the Centers for Medicare & Medicaid Services?
The Nicolas Charles Condrey has been assigned the NPI (National Provider Identifier) 1659548949 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Nicolas Charles Condrey's facilities are situated?
The facilities of Nicolas Charles Condrey are physically located at the following address: Po Box 43667, Jacksonville, FL, 322033667.
What is Nicolas Charles Condrey's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nicolas Charles Condrey's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
When did Nicolas Charles Condrey receive its 1659548949 assignment?
The Nicolas Charles Condrey was assigned its 1659548949 on 2008-05-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Nicolas Charles Condrey last refreshed?
The information related to the Nicolas Charles Condrey, including its address, specialty, and other relevant details, was last updated on 2015-11-16.