Individual
JOSE ALBERTO SOCARRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1824 KING ST, SUITE 200, JACKSONVILLE, FL 32204-4736
(904) 421-5586
Mailing address
1824 KING ST, SUITE 200, JACKSONVILLE, FL 32204-4736
(904) 421-5586
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9100852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000890700
—
FL
01
—
P00707979
RAILROAD MEDICARE
FL
Enumeration date
05/29/2008
Last updated
03/25/2015
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