MEDICARE: BRITTANY N MERTZ PA-C

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
1	363A00000X	Physician Assistant	MA06377	PA
2	363AM0700X	Medical Physician Assistant	PA9108086	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P01564598	OTHER	FL	RR MCR

General Provider Information

NPI Number	:	1568748176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY N MERTZ PA-C

Provider Business Mailing Address
First Line	:	9680 ARGYLE FOREST BLVD STE 34
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32222-2847
Country	:	US
Telephone Number	:	45-697-7719
Fax Number	:

Provider Business Practice Location Address
First Line	:	9680 ARGYLE FOREST BLVD STE 34
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32222-2847
Country	:	US
Telephone Number	:	45-697-7719
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2011
Last Update Date	:	03/13/2024

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Directions to “ BRITTANY N MERTZ PA-C” Practice Location

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