Individual provider · Type 1 NPI

Kacie June Brewer, PA

Surgical Physician Assistant · Jacksonville, FL

NPI number 1639506199 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Other practice locations

  • 800 Prudential Dr Ste 1100, Jacksonville, FL 32207 · (904) 388-6518

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X0110005142 (VA)
Surgical Physician Assistant Primary 363AS0400XPA9107527 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1639506199

Kacie June Brewer, PA's National Provider Identifier is 1639506199, issued on Sep 30, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 22, 2022.