Demetria A. Clark PA
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Demetria Angelica Clark PA
NPI Number
1104399849
NPI Type
Individual Provider
Gender
Female
Enumeration Date
01/04/2019
Specialties
(Taxonomies)Licenses
State
Florida
Minnesota
License Number
PA9114358
12918
Contact
Information
Purpose
Mailing
Location
Address
200 1ST ST SW
4500 SAN PABLO RD S
City
Rochester
Jacksonville
State
MN
FL
Postal Code
55905-0001
32224-1865
Country
US
US
Telephone Number
(507) 284-2511
(904) 953-2000
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
dclark574090@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 12/21/2023
Provider Address
Other Physician Assistants in Jacksonville, Florida:
