Organization
PHYSICIAN ASSISTANT SERVICES OF THE TREASURE COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MILLER PA (PRESIDENT)
(772) 713-6263
Entity
Organization
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 713-6263
Mailing address
561 CAVERN TER, SEBASTIAN, FL 32958-6546
(772) 713-6263
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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