Individual
MS. BREAH LYNN PACIOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(570) 262-0655
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MA059347
PA
363A00000X
Physician Assistant
Primary
PA9112425
FL
Other
Enumeration date
10/04/2017
Last updated
08/31/2020
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