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Organization
DANA WIGHTMAN PAC, PLLC
Active
Organization
DANA WIGHTMAN PAC, PLLC
Active
Other names
Physician Assistant Surgical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA WIGHTMAN PA-C (OWNER/PHYSICIAN ASSISTANT)
(908) 399-4987
Entity
Organization
Contact information
Practice address
253 NE 2ND ST, APT 1603, MIAMI, FL 33132-2292
(908) 399-4987
Mailing address
253 NE 2ND ST, APT 1603, MIAMI, FL 33132-2292
(908) 399-4987
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9108751
FL
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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