Individual
DEVON M ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1320 ROBERTS DR STE 101, JACKSONVILLE BEACH, FL 32250-3253
(904) 241-7147
(904) 376-3213
Mailing address
PO BOX 746652, ATLANTA, GA 30374-6652
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1160
AL
363A00000X
Physician Assistant
Primary
PA9112372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104912100
—
FL
01
—
1160
ALABAMA BOARD OF MEDICAL EXAMINERS
AL
Enumeration date
10/20/2016
Last updated
11/13/2025
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