Individual
JOHN F BYRNES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
2100 OCOEE APOPKA RD, APOPKA, FL 32703-9210
(407) 609-0095
Mailing address
2100 OCOEE APOPKA RD, APOPKA, FL 32703-9210
(407) 609-0095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1679
FL
363AS0400X
Surgical Physician Assistant
PA1679
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290007600
—
FL
01
—
HF826A
MEDICARE GROUP PTAN
FL
Enumeration date
09/06/2005
Last updated
06/10/2024
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