Male or Other

Charles E. Pope PHYSICIAN ASSISTANT

Medical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Charles E Pope PHYSICIAN ASSISTANT

NPI Number

1639351059

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/27/2007

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9100667

Contact
Information

Purpose

Mailing
Location

Address

4085 UNIVERSITY BLVD S
4085 UNIVERSITY BLVD S

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32216-4357
32216-4357

Country

US
US

Telephone Number

(904) 448-4174
(904) 448-4174

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/27/2007

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