Individual
GEIRSA CULIQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10870 US ONE N UNIT 104, PONTE VEDRA BEACH, FL 32081-7804
(904) 438-2720
Mailing address
3375 MANDARIN GLEN DR, JACKSONVILLE, FL 32223-7831
(904) 502-8866
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9116452
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
03/27/2022
Last updated
09/28/2022
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