Female

Drew M. Desalvo PA

Surgical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Drew Marie Desalvo PA

NPI Number

1164204467

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/20/2023

Specialties

(Taxonomies)

Code

363AS0400X
363A00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

PA9118078

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 746654
1301 PALM AVE STE 500

City

Atlanta
Jacksonville

State

GA
FL

Postal Code

30374-6654
32207-8432

Country

US
US

Telephone Number

(904) 202-2092
(904) 202-7300

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

Data last updated by provider on 06/25/2024

Provider Address

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