Individual
AUDREY O'KEEFE MISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10475 CENTURION PKWY N STE 302, JACKSONVILLE, FL 32256-5004
(904) 398-5437
Mailing address
10475 CENTURION PKWY N STE 302, JACKSONVILLE, FL 32256-5004
(904) 398-5437
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9110875
FL
363A00000X
Physician Assistant
Primary
PA9110875
—
363AM0700X
Medical Physician Assistant
MA056991
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103156877
—
PA
Enumeration date
06/23/2014
Last updated
08/11/2022
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