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

Individual provider Physician Assistant · NPI 1306122973

Mr. Weidong Su, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2011, 15 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2011
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

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11565 N Main St, Jacksonville, FL 32218-4002 — (904) 757-2811

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106187 (FL)

Record details

NPI number1306122973
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2011
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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