MEDICARE: MS. HOI-KEE NG 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	363AM0700X	Medical Physician Assistant	PA9100659	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	970011445	OTHER	FL	RAILROAD MEDICARE

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	40311	OTHER	FL	BCBSFL

General Provider Information

NPI Number	:	1083695217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HOI-KEE NG PA-C

Provider Business Mailing Address
First Line	:	5757 BOOTH RD
Second Line	:	BLDG 200
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-5981
Country	:	US
Telephone Number	:	904-636-9510
Fax Number	:

Provider Business Practice Location Address
First Line	:	5757 BOOTH RD BLDG 200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-5981
Country	:	US
Telephone Number	:	904-636-9510
Fax Number	:

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

Provider Enumeration Date	:	11/05/2005
Last Update Date	:	09/21/2018

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