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NPI Code Detail

MEDICARE: MR. PHILLIP DANIEL ALIX PA-C

MEDICARE: MR. PHILLIP DANIEL ALIX 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
1363A00000XPhysician AssistantPA9118789FL
2363AS0400XSurgical Physician AssistantPA9118789FL

General Provider Information

NPI Number : 1740037951
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PHILLIP DANIEL ALIX PA-C
Provider Business Mailing Address
First Line : 1545 BRANAN FIELD RD STE 1
Second Line :
City : MIDDLEBURG
State : FL
Zip : 32068-8429
Country : US
Telephone Number : 904-450-8575
Fax Number : 904-291-3822
Provider Business Practice Location Address
First Line : 1301 PALM AVE STE 500
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8432
Country : US
Telephone Number : 904-202-7300
Fax Number : 904-202-7433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2024
Last Update Date : 02/10/2026

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Directions to “ MR. PHILLIP DANIEL ALIX PA-C” Practice Location

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