Individual
MS. CANDRA R CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-2273
Mailing address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-2273
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
ZZ
363A00000X
Physician Assistant
—
CA
363A00000X
Physician Assistant
Primary
—
FL
Other
Enumeration date
10/13/2011
Last updated
10/22/2020
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