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Mr. Brent S Mickley, PA
Physician Assistant in Jacksonville, Florida
NPI 1124034269

Brent S Mickley is a Physician Assistant based in Jacksonville, FL. Brent S Mickley practices in Jacksonville, FL and has the professional credentials of PA. The NPI Number for Brent S Mickley is 1124034269 and holds a License No. 0010-05496 (Florida).

The current practice location address for Brent S Mickley is 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL and can be reached out via phone at 904-493-8001 and via fax at 904-338-0852.

Location: 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL, 32203-3667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124034269
Provider Name
Brent S Mickley
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL, 32203-3667
Phone Number
904-493-8001
Fax Number
904-338-0852
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018231000 05 FL
P01718560 01 FL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
14534 Old Saint Augustine Rd Ste 3420
City
Jacksonville
State
Florida
Zip
32258-2616
Phone Number
904-493-8001
Fax Number
904-338-0852
person
Provider Business Mailing Address Details
Address
14534 Old Saint Augustine Rd Ste 3420
City
Jacksonville
State
Florida
Zip
32258-2616
Phone Number
904-493-8001
Fax Number
904-338-0852
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
0010-05496 (North Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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