Individual
CHRIS LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4565 US HIGHWAY 17 STE 200, FLEMING ISLAND, FL 32003-4823
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTPOINT PKWY, STE 300, JACKSONVILLE, FL 32216
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114922
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116273800
—
FL
Enumeration date
10/12/2021
Last updated
07/28/2025
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