Individual
GENEVIEVE JOHNSON SEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2377 DUNN AVE, UFJAX - DUNN AVENUE FAMILY PRACTICE, JACKSONVILLE, FL 32218-6983
(904) 633-0700
(904) 633-0701
Mailing address
PO BOX 44008, UFJP - PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103691
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2927713-00
—
FL
Enumeration date
01/17/2007
Last updated
07/22/2009
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