Female

Autumn L. Chim PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Autumn Lee Chim PA-C

NPI Number

1689054538

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/05/2015

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida
Texas

License Number

PA9116378
PA13281

Contact
Information

Purpose

Mailing
Location

Address

4500 SAN PABLO RD S
4500 SAN PABLO RD S

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32224-1865
32224-1865

Country

US
US

Telephone Number

(904) 953-2000
(904) 953-2000

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

Data last updated by provider on 12/13/2022

Provider Address

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