person
Mr. Michael Nathan Peddycoart, NP
Adult Health Nurse Practitioner in Jacksonville, Florida
NPI 1770950420

Michael Nathan Peddycoart is an Adult Health Nurse Practitioner based in Jacksonville, FL and is specialized in Adult Health. Michael Nathan Peddycoart practices in Jacksonville, FL and has the professional credentials of NP. The NPI Number for Michael Nathan Peddycoart is 1770950420 and holds a License No. APRN9227732 (Florida).

The current practice location address for Michael Nathan Peddycoart is 7406 Fullerton St, Jacksonville, FL and can be reached out via phone at 863-529-6259.

Location: 7406 Fullerton St, Jacksonville, FL, 32256-3552
person
Provider Profile Details
NPI Number
1770950420
Provider Name
Michael Nathan Peddycoart
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
7406 Fullerton St, Jacksonville, FL, 32256-3552
Phone Number
863-529-6259
Fax Number
Provider Enumeration Date
08/28/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
APRN9227732 01 FL FL APRN LICENSE
RN9227732 01 FL FL RN LICENSE
institution
Provider Business Practice Location Address Details
Address
7406 Fullerton St
City
State
Zip
32256-3552
Phone Number
863-529-6259
Fax Number
person
Provider Business Mailing Address Details
Address
7406 Fullerton St
City
State
Zip
32256-3552
Phone Number
863-529-6259
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
APRN9227732 (Florida)
Definition
Definition to come...
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