Individual
JESSICA SUSAN PACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1720 S ORANGE AVE, STE 500, ORLANDO, FL 32806-2945
(407) 426-9693
(407) 426-9694
Mailing address
1720 S ORANGE AVE, STE 500, ORLANDO, FL 32806-2945
(407) 426-9693
(407) 426-9694
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104743
FL
Other
Enumeration date
09/01/2010
Last updated
10/07/2011
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