Female

Ms. Cherisse R. Mabe PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Ms. Cherisse Ragasa Mabe PA-C

NPI Number

1245202167

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/03/2006

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9100665

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 44008
655 W 8TH ST

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32231-4008
32209-6511

Country

US
US

Telephone Number

(904) 244-3199
(904) 244-6340

Identifiers

Identifier

2921014-00
436407997B
436047997A

Identifier State

FL
GA
GA

Identifier Issuer

Unknown
Unknown
Unknown

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

Data last updated by provider on 09/17/2014

Provider Address

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