Basic Information
| Provider Information | |||||||||
| NPI: | 1730584673 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FINCK | ||||||||
| FirstName: | MEGAN | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12086 FORT CAROLINE RD | ||||||||
| Address2: | SUITE #401 | ||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 322252687 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9045651271 | ||||||||
| FaxNumber: | 9046441733 | ||||||||
| Practice Location | |||||||||
| Address1: | 12086 FORT CAROLINE RD | ||||||||
| Address2: | SUITE #401 | ||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 322252687 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9045651271 | ||||||||
| FaxNumber: | 9046441733 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/04/2014 | ||||||||
| LastUpdateDate: | 11/04/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | PA 9108367 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.