Philip T Chanfrau, PA-C
Physician Assistant in Jacksonville, FL. Individual provider (NPI-1).
NPI number1265249338
StatusActive
Last updated in NPPESOct 12, 2026
Details
- NPI
- 1265249338
- Entity type
- Individual (NPI-1)
- Name
- Philip T Chanfrau
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2024
- Certification date
- Oct 12, 2026
- Last updated
- Oct 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 9119439 | FL | Yes |
Practice location
7685 103rd StJacksonville, FL 32210-9325
Phone 904-245-8910
Mailing address
7685 103rd StJacksonville, FL 32210-9325
Phone 904-771-1116
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