Individual
JOHN MATTHEW DUMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
3640 NEWCOMB RD, JACKSONVILLE, FL 32218-1510
(586) 764-7252
Mailing address
3640 NEWCOMB RD, JACKSONVILLE, FL 32218-1510
(586) 764-7252
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
2786
DC
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
04/19/2019
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