Individual
JOSEPH PRAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
1401 RIVERPLACE BLVD, 1907, JACKSONVILLE, FL 32207-9069
(321) 684-9967
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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