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Individual

MR. BESNIK MECAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4498 HENDRICKS AVE, JACKSONVILLE, FL 32207-6326
(904) 854-1730
Mailing address
158 WINDLEY DR, ST AUGUSTINE, FL 32092-0043
(904) 240-7045

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9111490
FL

Other

Enumeration date
10/24/2018
Last updated
10/29/2021
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