Individual
MS. ILONA SUZANNE FENYO-MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1255 LILA ST, UFJP LEM TURNER FAMILY PRACTICE CENTER, JACKSONVILLE, FL 32208-3550
(904) 244-5700
(904) 244-5825
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1837
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002429A
—
GA
05
—
2907097-00
—
FL
Enumeration date
03/23/2006
Last updated
11/24/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us