Male or Other

Michael Williamson

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Michael Williamson

NPI Number

1184484693

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/21/2024

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

9119429

Contact
Information

Purpose

Mailing
Location

Address

6675 CORPORATE CENTER PKWY STE 115
6675 CORPORATE CENTER PKWY STE 115

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32216-8088
32216-8088

Country

US
US

Telephone Number

N/A
(904) 245-8910

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

Data last updated by provider on 11/16/2024

Provider Address

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