Ivan R Repass is a Surgical in Winter Park, Florida. Ivan R Repass practices all healthcare services and medical treatments related to Surgical. 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 | Surgical |
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Taxonomy | 363As0400X |
Licence No | PA1668 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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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 Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.
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.