Individual
CARY ANNE FALCONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS, PA-C
Contact information
Practice address
1005 E BOYER ST, TARPON SPRINGS, FL 34689-5501
(727) 934-7638
(727) 944-4052
Mailing address
5210 WEBB RD, TAMPA, FL 33615-4518
(813) 882-9986
(813) 341-3259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101173500
—
FL
Enumeration date
09/27/2018
Last updated
04/22/2022
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