Individual
IRENE AMY KHALED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 VONDERBURG DR STE 215, BRANDON, FL 33511-5977
(813) 337-6178
Mailing address
2704 N ROYAL CT, TAMPA, FL 33602-1134
(703) 537-9997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9119788
FL
Other
Enumeration date
02/14/2025
Last updated
03/12/2025
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