Ivan R Repass in Winter Park - Physician Assistant
Ivan R Repass - NPI 1548374770
Ivan R Repass is a Physician Assistant in Winter Park, Florida. Ivan R Repass practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ivan R Repass is 1548374770. The last update date is 2012-03-06.
Ivan R Repass's current location address is 1285 Orange Ave, Winter Park, Florida. You can contact this provider via phone number 4076472287 and fax number 4076431300. The mailing address for Ivan R Repass is 1285 Orange Ave, Winter Park, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ivan R Repass |
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Address | 1285 Orange Ave, Winter Park, Florida |
Phone Number | 4076472287 |
Fax Number | 4076431300 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1548374770 |
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Provider Enumeration Date | 2006-08-17 |
Last Updated Date | 2012-03-06 |
Provider Mailing Address Detail
Address | 1285 Orange Ave |
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City | Winter Park |
State | Florida (FL) |
Post Code | 327894949 |
Phone Number | 4076472287 |
Fax Number | 4076431300 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA1668 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Post Comment/ Review Below
What is the Ivan R Repass's 1548374770?
The Ivan R Repass's NPI (National Provider Identifier) Number is 1548374770. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ivan R Repass's physical address?
The Ivan R Repass is physically located at 1285 Orange Ave, in the city of Winter Park, FL, with the postal code 327894949.
What is Ivan R Repass's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ivan R Repass's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Ivan R Repass receive its 1548374770 assignment from the Centers for Medicare & Medicaid Services?
The Ivan R Repass was assigned its 1548374770 by the Centers for Medicare & Medicaid Services on 2006-08-17.
When was the Ivan R Repass's information last updated?
The Ivan R Repass's information was last updated on 2012-03-06.