Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Miss Center of Excellence PA

Organization Neurological Surgery Physician · NPI 1588319925

Miss Center of Excellence PA provides Neurological Surgery Physician services in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4530-15 St Johns Avenue 396 396
Jacksonville, FL 32210
Phone: (904) 451-7144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1588319925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Cannestra — Owner · (904) 343-1185
NPI enumeratedFebruary 15, 2022
Last updated in NPPESFebruary 15, 2022
Certification dateJanuary 31, 2022
Mailing address4530-15 St Johns Avenue 396, 396, Jacksonville, FL 32210

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