Individual
JOSHUA B MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1100 PLANTATION ISLAND DR S STE 220, ST AUGUSTINE, FL 32080-5174
(904) 223-3321
(904) 223-2169
Mailing address
5191 FIRST COAST TECH PKWY, 3RD FLOOR, JACKSONVILLE, FL 32224-0609
(904) 223-3321
(904) 223-2169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003374300
—
FL
Enumeration date
05/15/2006
Last updated
09/28/2022
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