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Mr. Derek Nelson, PA-C
Medical Physician Assistant in Orange City, Florida
NPI 1821370685

Derek Nelson is a Medical Physician Assistant based in Norcross, FL and is specialized in Medical. Derek Nelson practices in Orange City, FL and has the professional credentials of PA-C. The NPI Number for Derek Nelson is 1821370685 and holds a License No. PA9106084 (Florida).

The current practice location address for Derek Nelson is 1055 Saxon Blvd, Orange City, FL and can be reached out via phone at 386-917-5000.

Location: 1055 Saxon Blvd, Orange City, FL, 30092-1364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821370685
Provider Name
Derek Nelson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1055 Saxon Blvd, Orange City, FL, 30092-1364
Phone Number
386-917-5000
Fax Number
Provider Enumeration Date
09/16/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0042720-00 05 FL
institution
Provider Business Practice Location Address Details
Address
1055 Saxon Blvd
City
Orange City
State
Florida
Zip
32763-8468
Phone Number
386-917-5000
Fax Number
person
Provider Business Mailing Address Details
Address
1055 Saxon Blvd
City
Orange City
State
Florida
Zip
32763-8468
Phone Number
386-917-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9106084 (Florida)
Definition
Definition to come...
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