Individual
COURTNEY JANE LUEDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 PALM AVE STE 100, JACKSONVILLE, FL 32207-8457
(904) 202-7300
(904) 202-2754
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-03081
NC
363A00000X
Physician Assistant
Primary
PA9118264
FL
363AM0700X
Medical Physician Assistant
0010-03081
NC
Other
Enumeration date
09/08/2011
Last updated
01/16/2026
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