Individual
VANESSA A HAJZUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6600 CHARING ST, JACKSONVILLE, FL 32216-6110
(904) 674-0022
Mailing address
234 BROOKLINE TRL, PONTE VEDRA, FL 32081-8491
(434) 566-8530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2175
SC
363AM0700X
Medical Physician Assistant
Primary
PA9118949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1981PA
—
SC
Enumeration date
09/16/2014
Last updated
08/15/2024
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