ANDREVIUS T JEFFERSON

JACKSONVILLE, FL
NPI1801857941
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9103073)
Enumeration Date2006-03-29
Last Update Date2008-11-13
Business Address
Mr. ANDREVIUS T JEFFERSON PA
655 W 8TH ST UFJP CRITICAL CARE
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-4075
Mailing Address
Mr. ANDREVIUS T JEFFERSON PA
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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