person
Mr. Jonathan James Bradshaw, PA-C
Surgical Physician Assistant in Jacksonville, Florida
NPI 1992765168

Jonathan James Bradshaw is a Surgical Physician Assistant based in Orange Park, FL and is specialized in Surgical. Jonathan James Bradshaw practices in Jacksonville, FL and has the professional credentials of PA-C. The NPI Number for Jonathan James Bradshaw is 1992765168 and holds a License No. PA 9103821 (Florida).

The current practice location address for Jonathan James Bradshaw is 4500 San Pablo Rd S, Jacksonville, FL and can be reached out via phone at 904-953-2000.

Location: 4500 San Pablo Rd S, Jacksonville, FL, 32065-2580
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Provider Profile Details
NPI Number
1992765168
Provider Name
Jonathan James Bradshaw
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4500 San Pablo Rd S, Jacksonville, FL, 32065-2580
Phone Number
904-953-2000
Fax Number
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
292826400 05 FL
institution
Provider Business Practice Location Address Details
Address
4500 San Pablo Rd S
City
State
Zip
32224-1865
Phone Number
904-953-2000
Fax Number
person
Provider Business Mailing Address Details
Address
4500 San Pablo Rd S
City
State
Zip
32224-1865
Phone Number
904-953-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA 9103821 (Florida)
Definition
Definition to come...
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