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Alana Estore Conley

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

Based on the most recent information from CMS, provider Alana Estore Conley does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1649251877
Provider Type
Individual
Full Name
Conley, Alana Estore
Title
Ms.
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
11/5/2005
Last Updated
1/7/2011

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA9102947 Florida

Provider Identifiers

ID	Description	Issuer
ID U4029Y	Description Other	Issuer MEDICARE PTAN Florida

Alana Estore Conley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Feigel, Deborah Graves

Dye, Kenneth

Miiller, Jennifer

Salahshor, Susan

Sommese, Melina Volner

Brown, Robert Anthony

Godart, Gabriel Anthony

Ebener, Laura Anne

Gajarawala, Nikunj

Williams, Meredith