WEIDONG SU

JACKSONVILLE, FL
NPI1306122973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9106187)
Enumeration Date2011-10-27
Last Update Date2024-02-15
Business Address
Mr. WEIDONG SU PA-C
11565 N MAIN ST
JACKSONVILLE, FL 32218-4002
Phone number: 904-757-2811
Mailing Address
Mr. WEIDONG SU PA-C
8923 HAMPTON LANDING DR E
JACKSONVILLE, FL 32256-4585
Phone number: 904-349-6856
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