Organization
JOHN ASSI, MD, PA
Active
Parent organization
JOHN ASSI, MD, PA
Other names
Children's Health Associtates
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN ASSI, MD, PA
Authorized official
DR. JOHN ASSI MD (OWNER)
(904) 398-1471
Entity
Organization
Contact information
Practice address
1445 DUNN AVE, DAYTONA BEACH, FL 32114-1437
(386) 323-0550
(386) 323-0510
Mailing address
3710 GRANDY AVE, JACKSONVILLE, FL 32207-6112
(904) 398-1471
(904) 398-1460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
ME45615
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263972606
—
FL
Enumeration date
04/04/2008
Last updated
04/29/2010
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