Male or Other

Brian F. Petrine PA

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Brian Franklin Petrine PA

NPI Number

1255503843

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/24/2008

Specialties

(Taxonomies)

Code

363A00000X
363AS0400X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

PA9104481

Contact
Information

Purpose

Mailing
Location

Address

4500 SAN PABLO RD S
4205 BELFORT RD

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32224-1865
32216

Country

US
US

Telephone Number

(904) 953-2000
(904) 296-3103

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

bpetrine391669@ehrdirect.mayoclinicmsg.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

4500 San Pablo Rd SJacksonville, FL322241865US

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

Data last updated by provider on 10/09/2020

Provider Address

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