Individual
MR. FRANK OLIVER PACETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
655 W 8TH ST, UFJP SJ COMMUNITY HEALTH CENTER, JACKSONVILLE, FL 32209-6511
(904) 244-5121
(904) 244-5965
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
PA2342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002827A
—
GA
05
—
2905060-00
—
FL
Enumeration date
03/28/2006
Last updated
01/20/2009
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