is a Physician Assistant in Hollywood, Florida. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1922265875. The last update date is .
's current location address is 1150 N 35th Ave, Hollywood, Florida. You can contact this provider via phone number 9549668559 and fax number 9549661156. The mailing address for is 1150 N 35th Ave, Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1150 N 35th Ave, Hollywood, Florida |
| Phone Number | 9549668559 |
| Fax Number | 9549661156 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1922265875 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1150 N 35th Ave |
|---|---|
| City | Hollywood |
| State | Florida (FL) |
| Post Code | 330215424 |
| Phone Number | 9549668559 |
| Fax Number | 9549661156 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | AP2459 |
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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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