Audrey O. Misel PA-C
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Audrey O'Keefe Misel PA-C
NPI Number
1508271123
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/23/2014
Specialties
(Taxonomies)Licenses
State
Florida
Pennsylvania
License Number
PA9110875
MA056991
Contact
Information
Purpose
Mailing
Location
Address
10475 CENTURION PKWY N STE 302
10475 CENTURION PKWY N STE 302
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32256-5004
32256-5004
Country
US
US
Telephone Number
(904) 398-5437
(904) 398-5437
Identifiers
Identifier
103156877
Identifier State
PA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/11/2022