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Individual

MR. ANTHONY PATRICK BIELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2300 PARK AVE STE 206, ORANGE PARK, FL 32073-5573
(904) 634-0640
(904) 634-0220
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0604
(904) 634-0203

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111112
FL
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107966500
FL
Enumeration date
03/03/2006
Last updated
07/28/2025
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