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

Mr. Robert Irving Nottingham, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1467535468

Mr. Robert Irving Nottingham, PHYSICIANASSISTANT is a Medical Physician Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

807 Childrens Way
Jacksonville, FL 32207-8426
Phone: (904) 697-3600
Fax: (904) 687-3927
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-1777 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1467535468
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESOctober 19, 2025
Certification dateOctober 19, 2025

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