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

Individual provider Medical Physician Assistant · NPI 1881938991

Mirian Antelo Couch, PA-C is a Medical Physician Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
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

6555 Chester Ave Ste 1
Jacksonville, FL 32217-2279
Phone: (904) 309-6504
Fax: (904) 503-3577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9106827 (FL)

Record details

NPI number1881938991
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 28, 2022

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