Male or Other

Alexis Rangel PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Alexis Rangel PA-C

NPI Number

1225437601

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/21/2014

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9108084

Contact
Information

Purpose

Mailing
Location

Address

8375 DIX ELLIS TRL STE 201
800 PRUDENTIAL DR

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32256-8241
32207-8202

Country

US
US

Telephone Number

(904) 399-5550
(904) 202-2222

Identifiers

Identifier

PA9108084

Identifier State

FL

Identifier Issuer

STATE LICENSE NUMBER

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

Data last updated by provider on 04/25/2024

Provider Address

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