Individual
ALYSSA HENRY PROFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
212 LAKE RAY RD, HAWTHORNE, FL 32640-5706
(352) 284-1402
Mailing address
208 LAKE RAY RD, HAWTHORNE, FL 32640-5706
(352) 284-1402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
FL
Other
Enumeration date
06/25/2018
Last updated
06/20/2023
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