Allison Justice PA-C

NPI 1720489941 - Physician Assistant - 363A00000X

NPI Details
NPI 1720489941
Gender Female
Enumeration Date 09/07/2014
Last Updated 10/12/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
2460 OLD MOULTRIE RD
SUITE 4
ST AUGUSTINE FL, 32086-4197, US
Phone (904) 794-2711
Fax (904) 794-2715
Business Location
729 BEVILLE RD
SOUTH DAYTONA FL, 32119-1823, US
Phone (386) 256-4791
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PAT9108135
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According to our database, Ms. Allison Justice PA-C NPI is 1720489941, taxonomy code is 363A00000X and license number is PAT9108135, license state is located at Florida. Allison Justice PA-C physically located at 2460 Old Moultrie Rd, St Augustine FL, 32086-4197. NPI Number Allison Justice PA-C has the Individual type.

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1720489941 NPI number is provided on an as is basis without warranty of any kind. 1720489941 is maintained by the National Plan & Provider Enumeration System. The contents of Allison Justice PA-C are for informational purposes only.