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Individual

MS. CHERYL PLOTKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2 SHIRCLIFF WAY, SUITE 800, JACKSONVILLE, FL 32204-4753
(904) 388-2619
(904) 388-0240
Mailing address
7015 AC SKINNER PARKWAY, SUITE 1, JACKSONVILLE, FL 32256
(904) 363-2113
(904) 538-3672

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 2202
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
290477200
FL
01
7720498
AETNA
FL
01
Y03PV
BC BS
FL
Enumeration date
10/06/2005
Last updated
06/07/2013
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