Individual
MEGAN M MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1922 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216
(904) 721-7844
(904) 727-3597
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106916
FL
Other
Enumeration date
10/15/2012
Last updated
12/12/2018
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