Individual
JUSTIN MARK EDGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1431 SW 1ST AVE, OCALA, FL 34471-6500
(352) 401-1000
Mailing address
240 S RIDGEWOOD AVE, DELAND, FL 32720-2939
(386) 804-9812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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