DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JUSTIN VINOMON

MEDICARE: JUSTIN VINOMON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1275143687
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN VINOMON
Provider Business Mailing Address
First Line : 1539 WHEAT GRASS WAY
Second Line :
City : GRAYSON
State : GA
Zip : 30017-4141
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6675 CORPORATE CENTER PKWY STE 115
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-8088
Country : US
Telephone Number : 404-323-9804
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2020
Last Update Date : 07/31/2020

Similar Medicare Providers

1134504665 — HALEY ELIZABETH ANDERSON PA-C, ATC
Practice Location Address:
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL
32216-8088
Practice Phone: 609-709-3691
Practice Fax:
1699276725 — JOSEPH SERAFIN
Practice Location Address:
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL
32216-8088
Practice Phone: 904-245-8910
Practice Fax:
1407434509 — LINDSEY ANN JOHNSON
Practice Location Address:
6675 CORPORATE CENTER PKWY STE 112
JACKSONVILLE, FL
32216-8088
Practice Phone: 321-652-2053
Practice Fax:
1174271878 — CRAIG SHERWOOD
Practice Location Address:
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL
32216-8088
Practice Phone: 904-245-8910
Practice Fax:
1568103885 — MICHELLE KATHERINE FARINA
Practice Location Address:
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL
32216-8088
Practice Phone: 904-245-8910
Practice Fax:
1932835733 — CUONG NGUYEN PA-C
Practice Location Address:
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL
32216-8088
Practice Phone: 904-245-8910
Practice Fax:

Directions to “ JUSTIN VINOMON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.