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Individual

JOSHUA CRANDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-S

Contact information

Practice address
6675 CORPORATE CENTER PKWY STE 115, JACKSONVILLE, FL 32216-8088
(904) 245-8910
Mailing address
6650 CORPORATE CENTER PKWY APT 905, JACKSONVILLE, FL 32216-8728
(603) 494-5278

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9120677
FL

Other

Enumeration date
03/17/2025
Last updated
09/08/2025
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