Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss Center of Excellence PA

Organization Neurological Surgery Physician · NPI 1588319925

Miss Center of Excellence PA is a Neurological Surgery Physician in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4530-15 St Johns Avenue 396 396
Jacksonville, FL 32210
Phone: (904) 451-7144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1588319925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Cannestra — Owner · (904) 343-1185
NPI enumeratedFebruary 15, 2022
Last updated in NPPESFebruary 15, 2022
Certification dateJanuary 31, 2022
Mailing address4530-15 St Johns Avenue 396, 396, Jacksonville, FL 32210

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