Individual
MR. DAVID FRANCIS HABELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5460 BLANDING BLVD, UFJP ANCHOR PLAZA FAMILY PRACTICE CENTER, JACKSONVILLE, FL 32244-1957
(904) 777-3019
(904) 777-1241
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002371A
—
GA
05
—
2907461-00
—
FL
Enumeration date
03/04/2006
Last updated
01/22/2015
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