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Individual

MRS. PATRICIA P MCARDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
425 N LEE ST, SUITE 203, JACKSONVILLE, FL 32204-1128
(904) 354-8200
(904) 354-1340
Mailing address
425 N LEE ST, SUITE 203, JACKSONVILLE, FL 32204-1128
(904) 354-8200
(904) 354-1340

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2626302
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002167000
FL
01
CJ499Z
MEDICARE ID
FL
01
P00991008
RAILROAD MEDICARE
FL
01
Y01KR
BCBS FL
FL
Enumeration date
07/29/2009
Last updated
07/11/2014
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