Individual
ILYSA KARIN HOWARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14405 ARBOR GREEN TRL, LAKEWOOD RANCH, FL 34202-8409
(941) 917-7080
(941) 917-7085
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108415
FL
Other
Enumeration date
10/03/2013
Last updated
07/12/2019
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