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Organization
OSCEOLA COUNTY HEALTH DEPT
Active
Organization
OSCEOLA COUNTY HEALTH DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A PAYNE P.A. (PHYSICIAN ASSITANT)
(407) 943-7038
Entity
Organization
Contact information
Practice address
1050 GRAPE AVE, SAINT CLOUD, FL 34769-3965
(407) 943-7038
(407) 892-6468
Mailing address
1875 BOGGY CREEK RD, KISSIMMEE, FL 34744-4428
(407) 943-7038
(407) 892-6468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2752
LICENSE
FL
Enumeration date
12/29/2006
Last updated
08/22/2020
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