Individual
MR. ROBERT IRVING NOTTINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(904) 687-3927
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 687-4100
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA-1777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292016600
—
FL
Enumeration date
10/23/2006
Last updated
10/19/2025
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