Individual
MRS. KALLIOPE JOHANNA FREBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2404 US HIGHWAY 19, HOLIDAY, FL 34691-3943
(727) 945-0100
Mailing address
2404 US HIGHWAY 19, HOLIDAY, FL 34691-3943
(727) 945-0100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9111233
FL
Other
Enumeration date
05/05/2018
Last updated
11/25/2020
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