Individual
MS. ANNE L CARDACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
17327 PAGONIA RD, CLERMONT, FL 34711-6009
(407) 905-6006
(407) 636-7806
Mailing address
17327 PAGONIA RD, CLERMONT, FL 34711-6009
(407) 905-6006
(407) 636-7806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 9104659
FL
363AM0700X
Medical Physician Assistant
Primary
PA9104659
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008761800
—
FL
Enumeration date
09/12/2008
Last updated
05/19/2020
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