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Search › Florida › Medical Physician Assistant

Fred Ewalt, PA

NPI 1487629267 · on the registry since 2006

Practice

Address
2080 Child St
Jacksonville, FL 32214
Phone
(904) 542-7765
Fax
(904) 542-7835
Organisation at this address
Nh Jax
Nh Jacksonville
Nh Jacksonville
United States Navy
The Chesapeake Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
428

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-11-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida