Individual
EMMA WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
720 OAK COMMONS BLVD, KISSIMMEE, FL 34741-4100
(407) 933-2522
Mailing address
720 OAK COMMONS BLVD, KISSIMMEE, FL 34741-4100
(407) 933-2522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9117939
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/05/2022
Last updated
01/17/2024
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