Individual
MS. KAREN VONCILLE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6885 BELFORT OAKS PL, SUITE 210, JACKSONVILLE, FL 32216-6234
(904) 652-0373
(904) 653-0378
Mailing address
6885 BELFORT OAKS PL, SUITE 210, JACKSONVILLE, FL 32216-6234
(904) 652-0373
(904) 653-0378
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101268
FL
Other
Enumeration date
11/08/2005
Last updated
08/07/2007
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