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

Michael J Farless, PA-C

Individual provider Physician Assistant · NPI 1952679136

Michael J Farless, PA-C is a Physician Assistant in Jacksonville, Florida. Licensed in Florida, Georgia and Ohio. Registered with an NPI since 2011.

Licensed in
FL, GA, OH
In the registry since
2011
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

4427 Emerson St #4
Jacksonville, FL 32207-4969
Phone: (904) 398-7015
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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 50.003442 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 8912 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA9107975 (FL)

Record details

NPI number1952679136
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 2, 2011
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address75 Remit Dr, 1056, Chicago, IL 60675-1056

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