Individual
HALEY ELIZABETH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
6675 CORPORATE CENTER PKWY STE 115, JACKSONVILLE, FL 32216-8088
(609) 709-3691
Mailing address
6675 CORPORATE CENTER PKWY STE 115, JACKSONVILLE, FL 32216-8088
(609) 709-3691
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
9117956
FL
Other
Enumeration date
07/27/2015
Last updated
10/02/2023
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