Individual
MS. CLAUDIA VANSOEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3033 MONUMENT RD STE 20, JACKSONVILLE, FL 32225-1779
(904) 642-1888
(904) 642-2019
Mailing address
3033 MONUMENT RD STE 20, JACKSONVILLE, FL 32225-1779
(904) 642-1888
(904) 642-2019
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304295200
—
FL
Enumeration date
04/23/2008
Last updated
02/28/2013
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