Male or Other

Mr. Marcio Correa PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Mr. Marcio Correa PA-C

NPI Number

1144523739

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/21/2010

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA 9105630

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) 383-1001

Identifiers

Identifier

0041840-00

Identifier State

FL

Identifier Issuer

Unknown

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

Data last updated by provider on 03/26/2014

Provider Address

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