WILLIAM S LAX

JACKSONVILLE, FL
NPI1497880348
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA3350)
Enumeration Date2007-02-22
Last Update Date2016-07-26
Business Address
-- WILLIAM S LAX PA
810 LANE AVE S
JACKSONVILLE, FL 32205-4785
Phone number: 904-783-9680
Mailing Address
-- WILLIAM S LAX PA
PO BOX 80883
ATHENS, GA 30608-0883
Phone number: 706-549-8114
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