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1023480100
AZRA VELIC
JACKSONVILLE, FL
NPI
1023480100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9109097)
Enumeration Date
2015-10-28
Last Update Date
2018-08-16
Business Address
AZRA VELIC PA
7207 GOLDEN WINGS RD SUITE 100
JACKSONVILLE, FL 32244
Phone number: 904-389-1010
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Mailing Address
AZRA VELIC PA
6195 LAKE GRAY BLVD
JACKSONVILLE, FL 32244-5891
Phone number: 904-389-1010
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