Provider Demographics
NPI:1538497771
Name:METTS, HANH (PA-C)
Entity Type:Individual
Prefix:
First Name:HANH
Middle Name:
Last Name:METTS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8711 PERIMETER PARK BLVD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-6388
Mailing Address - Country:US
Mailing Address - Phone:904-425-4356
Mailing Address - Fax:904-425-4356
Practice Address - Street 1:5355 RED BUG LAKE RD
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-4909
Practice Address - Country:US
Practice Address - Phone:321-304-3300
Practice Address - Fax:321-304-3287
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2016-06-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9105233363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical