Individual
BEVIN ANN AMEZCUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 956-3200
Mailing address
601 HALVERSON CT, JACKSONVILLE, FL 32225-7107
(904) 705-7710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9120536
FL
Other
Enumeration date
05/31/2025
Last updated
08/25/2025
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