Individual provider · Type 1 NPI

Jonathan James Bradshaw, PA-C

Surgical Physician Assistant · Jacksonville, FL

NPI number 1992765168 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Call (904) 953-2000 Map

Mailing address

745 Chestwood Chase Dr
Orange Park, FL 32065-2580

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA 9103821 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1992765168

Jonathan James Bradshaw, PA-C's National Provider Identifier is 1992765168, issued on Mar 23, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 11, 2009.