Individual
ALYSSA A PAETAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD, SUITE 2571, JACKSONVILLE, FL 32258-7418
(904) 886-2251
(904) 886-7151
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME102450
FL
Other
Enumeration date
02/09/2009
Last updated
10/12/2019
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