Individual
GULNAR SAMREEN MEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6000 49TH ST N, ST PETERSBURG, FL 33709-2114
(727) 521-5510
Mailing address
1380 WATERWAY COVE DR, WELLINGTON, FL 33414-5724
(561) 324-1964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106768
FL
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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