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GEORGIA IRELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5318 34TH ST WEST, BRADENTON, FL 34210
(941) 758-0205
Mailing address
5318 34TH ST WEST, BRADENTON, FL 34210
(941) 758-0205
(941) 242-1440

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9117873
FL

Other

Enumeration date
03/28/2024
Last updated
07/22/2025
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