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

Mr. Marvin R West, PA

Individual provider Physician Assistant · NPI 1356569461

Mr. Marvin R West, PA is a Physician Assistant in Jacksonville, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10175 Fortune Pkwy Unit 803
Jacksonville, FL 32256-6754
Phone: (904) 374-0353
Fax: (904) 503-0982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8942 Elizabeth Falls Dr, Jacksonville, FL 32257-5379 — (904) 891-0958

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 1584 (FL)

Record details

NPI number1356569461
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

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