Individual
ANNA RUTH-MILDRED NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4222
(904) 702-6089
Mailing address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 702-6089
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110750
FL
Other
Enumeration date
07/28/2017
Last updated
12/03/2024
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