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

Individual provider Physician Assistant · NPI 1588959902

Bliss Carley Tkaczyk, PA-C is a Physician Assistant in Jacksonville, Florida. Licensed in Florida and New York. Registered with an NPI since 2011.

Licensed in
FL, NY
In the registry since
2011
Specialties on file
2
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

841 Prudential Dr
Jacksonville, FL 32207-8329
Phone: (904) 396-5682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9112344 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 014870-1 (NY)

Record details

NPI number1588959902
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 14, 2011
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024

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