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NPI Code Detail

MEDICARE: MS. CATHY ANN SCHAN PA

MEDICARE: MS. CATHY ANN SCHAN PA
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 AssistantPA2638FL
2363AM0700XMedical Physician AssistantPA2638FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427036318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHY ANN SCHAN PA
Provider Business Mailing Address
First Line : 6520 FORT CAROLINE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32277-2044
Country : US
Telephone Number : 904-744-7300
Fax Number : 904-722-4271
Provider Business Practice Location Address
First Line : 6484 FORT CAROLINE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32277-2042
Country : US
Telephone Number : 904-744-7300
Fax Number : 904-722-4271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 06/13/2019

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