Individual
MS. ABIGAIL SOPHIA CAROLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-3418
(904) 244-3070
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-3418
(904) 244-3070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005022
VA
363A00000X
Physician Assistant
Primary
9118463
FL
363A00000X
Physician Assistant
C5-0000914
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
11/14/2013
Last updated
05/09/2024
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