Individual provider · Type 1 NPI

Derek Nelson, PA-C

Medical Physician Assistant · Orange City, FL

NPI number 1821370685 Active

Practice location

1055 Saxon Blvd
Orange City, FL 32763-8468

Call (386) 917-5000 Map

Mailing address

4440 River Bottom Dr
Norcross, GA 30092-1364

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9106084 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1821370685

Derek Nelson, PA-C's National Provider Identifier is 1821370685, issued on Sep 16, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orange City, FL. The record was last updated on Jan 11, 2013.