Female

Michelle A. Mcbride PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Michelle Amelia Mcbride PA-C

NPI Number

1164654778

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/14/2009

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9104202

Contact
Information

Purpose

Mailing
Location

Address

6890 BELFORT OAKS PL
9905 OLD SAINT AUGUSTINE RD

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32216-6241
32257-8982

Country

US
US

Telephone Number

(904) 296-1313
(904) 880-7715

Identifiers

Identifier

Y06K9

Identifier State

FL

Identifier Issuer

BCBS

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

Data last updated by provider on 11/18/2013

Provider Address

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