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Lynsey Souther, PA-C
Adult Medicine Physician in Davenport, Florida
NPI 1730665936

Lynsey Souther is an Adult Medicine Physician based in Davenport, FL and is specialized in Adult Medicine. Lynsey Souther practices in Davenport, FL and has the professional credentials of PA-C. The NPI Number for Lynsey Souther is 1730665936 and holds a License No. PA9111124 (Florida).

The current practice location address for Lynsey Souther is 102 Park Place Blvd, Davenport, FL and can be reached out via phone at 863-422-0032.

Location: 102 Park Place Blvd, Davenport, FL, 33837-6857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730665936
Provider Name
Lynsey Souther
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
102 Park Place Blvd, Davenport, FL, 33837-6857
Phone Number
863-422-0032
Fax Number
Provider Enumeration Date
07/11/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 Park Place Blvd
City
Davenport
State
Florida
Zip
33837-6857
Phone Number
863-422-0032
Fax Number
person
Provider Business Mailing Address Details
Address
102 Park Place Blvd
City
Davenport
State
Florida
Zip
33837-6857
Phone Number
863-422-0032
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
PA9111124 (Florida)
Definition
Definition to come.
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