Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Jan 16, 2007
License(s)
FLPA9100182 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 14518 SW 97TH ST | Miami, FL 33186-6927 | 305-382-3238 |
| LOCATION | 8525 SW 92ND ST | Miami, FL 33156-7365 | 305-630-2909 |
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