| Joseph A Mirville Jr, PA-C | |
|
14000 Fivay Rd, Hudson, FL 34667-7103 | |
| (727) 819-2929 | |
| Not Available |
| Full Name | Joseph A Mirville Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 14000 Fivay Rd, Hudson, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043683311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9109111 (Florida) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 10558 (Georgia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph A Mirville Jr, PA-C Po Box 917770, Orlando, FL 32891-0001 Ph: () - | Joseph A Mirville Jr, PA-C 14000 Fivay Rd, Hudson, FL 34667-7103 Ph: (727) 819-2929 |
Mr. Stephen Kette, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 | |
Bernard Scott Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 | |
Robert Obenrader, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 | |
Rachel Tipton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 | |
Judith Anne Hantl, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13109 Titleist Dr, Hudson, FL 34669 Phone: 727-856-2357 | |
Miss Yesenia Boresoff, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7529 Medical Dr, Hudson, FL 34667 Phone: 727-862-6524 Fax: 727-862-6439 |