Megan Dela Rea
Medical Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Megan Dela Rea
NPI Number
1154942571
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/27/2020
Specialties
(Taxonomies)Code
363AM0700X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
PA9116141
Contact
Information
Purpose
Mailing
Location
Address
11545 PETERSHAM FALLS LN
11545 PETERSHAM FALLS LN
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32258-2514
32258-2514
Country
US
US
Telephone Number
(904) 993-7504
(904) 993-7504
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/05/2022
Provider Address
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