Individual
AMY A HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
(904) 503-3577
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
20838
WI
363A00000X
Physician Assistant
Primary
PA9102451
FL
Other
Enumeration date
06/12/2006
Last updated
06/04/2021
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