Individual
GRACE FALLER SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
655 W 8TH ST FL 1, JACKSONVILLE, FL 32209-6511
(904) 244-3337
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116964
FL
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9116964
FL BOARD OF MEDICINE
FL
Enumeration date
09/03/2020
Last updated
03/11/2023
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