Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Autumn Lee Chim, PA-C

Individual provider Physician Assistant · NPI 1689054538

Autumn Lee Chim, PA-C is a Physician Assistant in Jacksonville, Florida. Works from 2 locations. Licensed in Florida and Texas.

Licensed in
FL, TX
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2401 S 31st St, Temple, TX 76508-5341 — (254) 724-2111

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116378 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA13281 (TX)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1689054538
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 5, 2015
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022

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