institution
Family Care On Eustis Square Pa
Medical Physician Assistant in Eustis, Florida
NPI 1659473833

Family Care On Eustis Square Pa is a Medical Physician Assistant based in Eustis, FL and is specialized in Medical. Family Care On Eustis Square Pa practices in Eustis, FL. The NPI Number for Family Care On Eustis Square Pa is 1659473833 and holds a License No. PA2446 (Florida).

The current practice location address for Family Care On Eustis Square Pa is 1 W Park Ave, Eustis, FL and can be reached out via phone at 352-357-4629 and via fax at 352-357-9367.

Location: 1 W Park Ave, Eustis, FL, 32726-2947
institution
Provider Profile Details
NPI Number
1659473833
Provider Name
Family Care On Eustis Square Pa
Credential
Provider Entity Type
Organization
Address
1 W Park Ave, Eustis, FL, 32726-2947
Phone Number
352-357-4629
Fax Number
352-357-9367
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K0951 01 FL MEDICARE GROUP PTAN
259149900 05 FL
institution
Provider Business Practice Location Address Details
Address
1 W Park Ave
City
State
Zip
32726-2947
Phone Number
352-357-4629
Fax Number
352-357-9367
person
Provider Business Mailing Address Details
Address
1 W Park Ave
City
State
Zip
32726-2947
Phone Number
352-357-4629
Fax Number
352-357-9367
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA2446 (Florida)
Definition
Definition to come...
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