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Individual

DEANNA JANTSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1400 SE GOLDTREE DR STE 103, PORT SAINT LUCIE, FL 34952-7582
(772) 335-8446
Mailing address
4071 CHURCH CREEK PT, LARGO, FL 33774-1000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
11/29/2022
Last updated
11/29/2022
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