Provider Demographics
NPI:1083695217
Name:NG, HOI-KEE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:HOI-KEE
Middle Name:
Last Name:NG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5757 BOOTH RD
Mailing Address - Street 2:BLDG 200
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-5981
Mailing Address - Country:US
Mailing Address - Phone:904-636-9510
Mailing Address - Fax:
Practice Address - Street 1:5757 BOOTH RD BLDG 200
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-5981
Practice Address - Country:US
Practice Address - Phone:904-636-9510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-05
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9100659363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009831900Medicaid
FL40311OtherBCBSFL
FL970011445OtherRAILROAD MEDICARE