Individual provider · Type 1 NPI

Loren E. Bonenclark, PA-C

Physician Assistant · Jacksonville, FL

NPI number 1639629579 Active

Practice location

1301 Palm Ave
Jacksonville, FL 32207-8432

Call (904) 202-7300 Map

Fax (904) 202-7433

Mailing address

PO Box 45278
Jacksonville, FL 32232-5278

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA9112402 (FL)
Surgical Physician Assistant 363AS0400XC06217 (MD)
Physician Assistant Primary 363A00000XPA9112402 (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 1639629579

Loren E. Bonenclark, PA-C's National Provider Identifier is 1639629579, issued on Oct 4, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 24, 2019.