Female

Ms. Ilona S. Fenyo-morales PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Ms. Ilona Suzanne Fenyo-morales PA-C

NPI Number

1033178363

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/23/2006

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA1837

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 44008
1255 LILA ST

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32231-4008
32208-3550

Country

US
US

Telephone Number

(904) 244-3199
(904) 244-5700

Identifiers

Identifier

100002429A
2907097-00

Identifier State

GA
FL

Identifier Issuer

Unknown
Unknown

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

Data last updated by provider on 11/24/2008

Provider Address

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