MARY TICE

JACKSONVILLE, FL
NPI1073594206
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9102441)
Enumeration Date2005-11-05
Last Update Date2020-08-31
Business Address
MARY TICE PA
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
Mailing Address
MARY TICE PA
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: