Individual
MS. CHERISSE RAGASA MABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
655 W 8TH ST, UFJP EMERGENCY MEDICINE, JACKSONVILLE, FL 32209-6511
(904) 244-6340
(904) 244-4508
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9100665
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2921014-00
—
FL
05
—
436047997A
—
GA
05
—
436407997B
—
GA
Enumeration date
02/03/2006
Last updated
09/17/2014
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