Individual
JACQUELINE S FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
(317) 705-5047
Mailing address
1301 PALM AVE, JACKSONVILLE, FL 32207-8432
(904) 228-4466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118320
FL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/22/2023
Last updated
12/19/2024
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