Miss Wagma Qazizada PA-C
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Miss Wagma Qazizada PA-C
NPI Number
1730499062
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/20/2010
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9105608
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 43667
14534 OLD SAINT AUGUSTINE RD STE 3420
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32203-3667
32258-2645
Country
US
US
Telephone Number
(904) 720-0599
(904) 493-8001
Identifiers
Identifier
004252400
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/11/2020