Haneen Sara Ayyoubi, PA-C
Physician Assistant, Medical in Jacksonville, FL. Individual provider (NPI-1).
NPI number1134820251
StatusActive
Last updated in NPPESMar 15, 2023
Details
- NPI
- 1134820251
- Entity type
- Individual (NPI-1)
- Name
- Haneen Sara Ayyoubi
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2023
- Certification date
- Feb 10, 2023
- Last updated
- Mar 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 9117130 | FL | Yes |
Practice location
13241 Bartram Park Blvd Unit 209Jacksonville, FL 32258-5233
Phone 904-224-5437
Mailing address
8550 Touchton Rd Apt 1112Jacksonville, FL 32216-2206
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