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Nicholas Freeman

Physician Assistant in Saint Augustine, FL. Individual provider (NPI-1).

NPI number1407342181
StatusActive
Last updated in NPPESJul 6, 2018

Details

NPI
1407342181
Entity type
Individual (NPI-1)
Name
Mr. Nicholas Freeman
Sex
Male
Sole proprietor
No
Enumeration date
Jul 6, 2018
Last updated
Jul 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

325 Edge Of Woods Rd
Saint Augustine, FL 32092-3720

Phone 904-859-4033

Mailing address

325 Edge Of Woods Rd
Saint Augustine, FL 32092-3720

Phone 904-859-4033

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