Individual
KELSEY LOUISE HAGAN-BZURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4215 BURNS RD STE 100, PALM BEACH GARDENS, FL 33410-4627
(561) 694-7776
(561) 694-3099
Mailing address
4215 BURNS RD STE 100, PALM BEACH GARDENS, FL 33410-4627
(561) 694-7776
(561) 694-3099
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9112977
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254016972
—
FL
Enumeration date
04/10/2020
Last updated
12/04/2024
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