Individual
AIXA SKELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6911 MERRILL RD, JACKSONVILLE, FL 32277-2616
(904) 743-1411
(904) 743-1028
Mailing address
6911 MERRILL RD, JACKSONVILLE, FL 32277-2616
(904) 743-1411
(904) 743-1028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME36752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057688300
—
FL
Enumeration date
01/15/2007
Last updated
08/29/2012
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