Individual
JESSICA LUCKADO CAVENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14044 SE 48TH AVE, STARKE, FL 32091-6849
(904) 263-5422
Mailing address
1500 1ST AVE N UNIT 3, BIRMINGHAM, AL 35203-1866
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9120022
FL
Other
Enumeration date
03/28/2019
Last updated
06/11/2025
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