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Individual

ALEXIS RANGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2222
Mailing address
8375 DIX ELLIS TRL STE 201, JACKSONVILLE, FL 32256-8241
(904) 399-5550

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108084
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA9108084
STATE LICENSE NUMBER
FL
Enumeration date
08/21/2014
Last updated
04/25/2024
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