Individual
CHRISTINE SUMMERS CORSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1514 NIRA ST, JACKSONVILLE, FL 32207-8652
(904) 384-3613
Mailing address
1514 NIRA ST, JACKSONVILLE, FL 32207-8652
(904) 387-4991
(904) 384-3613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107474
FL
Other
Enumeration date
08/23/2013
Last updated
02/19/2020
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