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Individual

ABRIANNA LUSITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1551 CLAY ST, WINTER PARK, FL 32789-5499
(407) 644-5371
(407) 644-1417
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114978
FL
363A00000X
Physician Assistant

Other

Enumeration date
08/26/2021
Last updated
06/23/2023
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