Individual
JOHN C PARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10337 SAN JOSE BLVD, JACKSONVILLE, FL 32257-6287
(904) 260-3200
(904) 262-8205
Mailing address
10337 SAN JOSE BLVD, JACKSONVILLE, FL 32257-6287
(904) 260-3200
(904) 262-8205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2065
FL
Other
Enumeration date
02/22/2007
Last updated
04/07/2011
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