Individual
MS. ALLISON RENE MANZIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14534 OLD SAINT AUGUSTINE RD STE 3420, JACKSONVILLE, FL 32258-2645
(904) 493-8001
(904) 388-0852
Mailing address
PO BOX 43667, JACKSONVILLE, FL 32203-3667
(904) 720-0599
(904) 376-4036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-09149
NC
363A00000X
Physician Assistant
Primary
PA9115339
FL
363AM0700X
Medical Physician Assistant
0010-09149
NC
Other
Enumeration date
06/16/2019
Last updated
11/22/2023
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