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1144523739
MARCIO CORREA
JACKSONVILLE, FL
NPI
1144523739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA 9105630)
Enumeration Date
2010-12-21
Last Update Date
2014-03-26
Business Address
Mr. MARCIO CORREA PA-C
1255 LILA ST UFJAX - FAMILY MEDICINE @ LEM TURNER
JACKSONVILLE, FL 32208-3550
Phone number: 904-383-1001
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Mailing Address
Mr. MARCIO CORREA PA-C
PO BOX 44008 UFJP - PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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