Individual provider · Type 1 NPI

Tara Shannon Condrey, PA

Physician Assistant · Jacksonville, FL

NPI number 1083871693 Active

Practice location

11512 Lake Mead Ave, Suite 531
Jacksonville, FL 32256-9680

Call (904) 419-2054 Map

Mailing address

15280 NW 79th Ct Ste 200
Miami Lakes, FL 33016-5873

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9104580 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083871693

Tara Shannon Condrey, PA's National Provider Identifier is 1083871693, issued on May 21, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 6, 2025.