WILLIAM S LAX


Address: 810 Lane Ave S, Jacksonville, FL 32205-4785
Phone: 9047839680

WILLIAM S LAX (NPI# 1497880348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497880348
Entity Type Individual
Full Name WILLIAM S LAX
Credential PA
Practice Address 810 Lane Ave S
Jacksonville
FL 32205-4785
Mailing Address Po Box 80883
Athens
GA 30608-0883
Practice Telephone 9047839680
Practice Fax Number 9047839680
Mailing Telephone 7065498114
Mailing Fax Number 7065497558
Enumeration Date 2007-02-22
Last Update Date 2016-07-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA3350 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BPC GROUP PTAN K1951A 01

Other Providers WILLIAM LAX

NPI Name Taxonomy Address Enumeration
1548247570 William David Lax Psychologist 167 Main St, Suite 401, Brattleboro, VT 05301-7128 2005-12-30

Office Location

Street Address 810 LANE AVE S
City JACKSONVILLE
State FL
Zip Code 32205-4785

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376530998 James W Clower IIi Family Medicine 810 Lane Ave S, Credentialing Department, Jacksonville, FL 32205-4785 2005-09-29
1184287245 Vanessa Lynne Shaw Nurse Practitioner 810 Lane Ave S, Jacksonville, FL 32205-4785 2019-04-15
1801243985 Holly Redlinger Social Worker 810 Lane Ave S, Jacksonville, FL 32205-4785 2016-05-19
1417180886 Matthew Todd Braddock Family Medicine 810 Lane Ave S, Jacksonville, FL 32205-4785 2009-09-01
1962686733 Emmanuel T. Miel Jr. Family Medicine 810 Lane Ave S, Credentialing Department, Jacksonville, FL 32205-4785 2007-12-28
1568643443 Baptist Primary Care Inc Family Medicine 810 Lane Ave S, Jacksonville, FL 32205-4785 2007-11-19
1871786665 Judy Maynor Comeaux Nurse Practitioner 810 Lane Ave S, Jacksonville, FL 32205-4785 2007-08-24
1912116872 Joanne Dufton Physical Therapist 810 Lane Ave S, Jacksonville, FL 32205-4785 2007-05-21
1538245030 Dawn M Johnson Pharmacist 810 Lane Ave S, Jacksonville, FL 32205-4785 2006-10-27
1124055587 Lisa Ragland Pharmacist 810 Lane Ave S, Jacksonville, FL 32205-4785 2006-06-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003466830 Brandon Neil Hillard Registered Nurse 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 2019-09-13
1720436363 Ericka Sampson Massage Therapist 6859 Lenox Ave., Suite 6, Jacksonville, FL 32205 2016-05-24
1578921631 Northstar Counseling Counselor 1672 Pershing Rd, Jacksonville, FL 32205 2016-02-04
1649645144 Magaly Perez-cruz Speech-Language Pathologist 4101-1 College Street, Jacksonville, FL 32205 2015-12-09
1639448723 First Choice Adult Daycare and Home Health Ca Specialist 5336 Quan Drive, Jacksonville, FL 32205 2011-12-20
1437434222 Christopher Styer Pharmacist 654 Casset Ave, Jacksonville, FL 32205 2011-10-12
1871827279 April Marie Felton Nurse Practitioner 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 2009-10-01
1922244821 Danielle Marie Sergent Physical Therapist 5222 Lenox Ave., Jacksonville, FL 32205 2008-12-23
1427181775 Lapp & Associates Behavioral Counselind Ctr Counselor 931 Cassat Avenue, Jacksonville, FL 32205 2007-03-14
1629143326 Elias Moussa Sargi Dentist 2700 Riverside Avenue, Ste 10, Jacksonville, FL 32205 2006-11-21
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799527 Emily Vander Zee Physician Assistant 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 2020-10-30
1245830314 Jonathan V Korah Physician Assistant 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 2020-10-28
1255931473 Rachel Gavrielle Stahly Physician Assistant 11438 Emuness Rd, Jacksonville, FL 32218-4050 2020-10-27
1760099071 Laura Alexandra Ramos-heckman Physician Assistant 2014 Capistrano Dr, Jacksonville, FL 32224-3091 2020-09-30
1184230583 Julian Clouse Physician Assistant 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 2020-09-21
1962016717 Stephanie Benton Gentry Physician Assistant 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 2020-08-31
1629689435 Monarch Mental Health Association Physician Assistant 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 2020-08-14
1235749425 Nicole Lhommedieu Physician Assistant 3850 Marnie Pl, Jacksonville, FL 32223-3541 2020-08-03
1861002123 Naw-am Acio Daniels Physician Assistant 7467 Volley Dr N, Jacksonville, FL 32277-9368 2020-08-03
1750906640 Veronica Adriana Dediego Physician Assistant 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 2020-06-16
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Competitor

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City JACKSONVILLE
Zip Code 32205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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