Individual
MICHELE FOEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14534 OLD SAINT AUGUSTINE RD STE 3420, JACKSONVILLE, FL 32258-2616
(904) 493-8001
(904) 376-3207
Mailing address
PO BOX 746652, ATLANTA, GA 30374-6652
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104298
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009211400
—
FL
01
—
P01070657
RAILROAD MEDICARE
FL
Enumeration date
09/13/2007
Last updated
05/23/2025
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