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1639140411
LUIS FELICIANO
JACKSONVILLE, FL
NPI
1639140411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA3069)
Enumeration Date
2006-01-30
Last Update Date
2008-11-18
Business Address
MR. LUIS FELICIANO PA-C
655 W 8TH ST UFJAX - RADIOLOGY
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-1212
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Mailing Address
MR. LUIS FELICIANO PA-C
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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