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Individual

JONATHAN EDWARD ADAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4850 GRANDE DR, PENSACOLA, FL 32504-5940
(850) 477-4447
(850) 477-2225
Mailing address
4850 GRANDE DR, PENSACOLA, FL 32504-5940
(850) 477-4447
(850) 477-2225

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111697
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105608600
FL
Enumeration date
09/21/2018
Last updated
02/28/2025
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