Mary E. Pettit in Largo - Physician Assistant
Mary E. Pettit - NPI 1083643548
Mary E. Pettit is a Physician Assistant in Largo, Florida. Mary E. Pettit practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary E. Pettit is 1083643548. The last update date is 2015-10-28.
Mary E. Pettit's current location address is 1301 2nd Ave Sw, Largo, Florida. You can contact this provider via phone number 7275818767 and fax number 7275812739. The mailing address for Mary E. Pettit is 1301 2nd Ave Sw, Largo, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary E. Pettit |
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Address | 1301 2nd Ave Sw, Largo, Florida |
Phone Number | 7275818767 |
Fax Number | 7275812739 |
Sole Proprietor | N |
Credentials | P.A.-C. |
NPI Number Detail
NPI Number | 1083643548 |
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Provider Enumeration Date | 2006-06-30 |
Last Updated Date | 2015-10-28 |
Provider Mailing Address Detail
Address | 1301 2nd Ave Sw |
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City | Largo |
State | Florida (FL) |
Post Code | 3377031200 |
Phone Number | 7275818767 |
Fax Number | 7275812739 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | C04291 |
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 |
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What is the unique identifier code issued to Mary E. Pettit by the Centers for Medicare & Medicaid Services (CMS)?
The Mary E. Pettit has been assigned the NPI (National Provider Identifier) 1083643548. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Mary E. Pettit is physically located?
The Mary E. Pettit is physically situated at the following address: 1301 2Nd Ave Sw, Largo, FL, 3377031200.
What is Mary E. Pettit's area of expertise and its corresponding taxonomy classification?
The Mary E. Pettit's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1083643548 to Mary E. Pettit?
The Centers for Medicare & Medicaid Services assigned the 1083643548 to Mary E. Pettit on 2006-06-30.
When was the information pertaining to Mary E. Pettit most recently updated or revised?
The details related to Mary E. Pettit, including its address, specialty, and other relevant information, were last updated or revised on 2015-10-28.
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