Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRENT S MICKLEY, PA
ActiveMR. BRENT S MICKLEY, PA is a Physician Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1124034269 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1124034269
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (20.021185511805 yrs)
- Last Updated
- Mar 31, 2020
- Licenses
-
0010-05496 (NC)PA9103362 (FL)
Practice Information
- Address
-
14534 OLD SAINT AUGUSTINE RD STE 3420JACKSONVILLE, FL, 322582616Browse FL providers · Browse ZIP 32258
- Phone
- 9044938001
- Fax
- 9043380852
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. JASON KOTULA | P.A. | 1548263882 |
| DANIEL A BECK | PA-C | 1780688465 |
| JOHN MICHAEL TIERNEY | PA | 1124023445 |
| KAREN ELAINE MAYES | PA | 1437154887 |
| EDWIN HAUSER | PA | 1760487185 |
| PETER J RIGGS | PA | 1255336574 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.