Individual
DANIEL P. JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2627 RIVERSIDE AVE FL 3, JACKSONVILLE, FL 32204-4717
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110646
FL
Other
Enumeration date
08/15/2017
Last updated
10/09/2023
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