Individual
MRS. GENA PLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
235 SW DADE ST, MADISON, FL 32340-2363
(850) 973-8851
(850) 973-8851
Mailing address
235 SW DADE ST, MADISON, FL 32340-2363
(850) 973-8851
(850) 973-8851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292290800
—
FL
Enumeration date
05/25/2006
Last updated
07/21/2009
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