Female

Magdalene E. Bredehoeft PA

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

Full Name

Magdalene Edith Bredehoeft PA

NPI Number

1821611310

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/19/2020

Specialties

(Taxonomies)

Code

363AM0700X
363A00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
New York

License Number

9117453
024907

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 44008
655 WEST 8TH STREET

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32231-4008
32209-4870

Country

US
US

Telephone Number

(904) 244-0411
(904) 244-0411

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

Data last updated by provider on 06/26/2023

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