Individual
ERIN OLIVIA WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4727 SUNBEAM RD STE 101, JACKSONVILLE, FL 32257-6188
(904) 512-1899
(904) 770-7592
Mailing address
PO BOX 13834, TALLAHASSEE, FL 32317-3834
(850) 205-0615
(855) 975-0615
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9117608
FL
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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