Medved, Michael R

Medved, Michael R is an individual health care provider with primary practice located at 3560 A1A S , Saint Augustine FL 32080-9731. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Medved, Michael R can be contacted via phone (904) 584-2273.

Contact Information

Primary practice address
3560 A1A S Saint Augustine FL 32080-9731
Phone: (904) 584-2273
Fax: (904) 823-9394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA3163 Florida

Profile Details

NPI number 1679690366
LBN Legal business name Medved, Michael R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Dec 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679690366 NPPES
Florida Other PA3163 MEDICAL LICENSE

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