Individual
MRS. JUANITA DENAE BRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPA, ATC, MED.
Contact information
Practice address
3055 COUNTY ROAD 210 W STE 110, ST JOHNS, FL 32259-7001
(214) 580-7277
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
012000864
VA
2255A2300X
Athletic Trainer
—
CA
363A00000X
Physician Assistant
Primary
PA9118228
FL
363AM0700X
Medical Physician Assistant
306479
NC
363AM0700X
Medical Physician Assistant
PA15256
TX
363AM0700X
Medical Physician Assistant
PA60497
CA
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070402592
NATA BOC
CA
01
—
0126000864
ATC VIRGINIA LICENSE
VA
05
—
125670500
—
FL
05
—
PA15256
—
TX
Enumeration date
08/30/2006
Last updated
07/28/2025
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