Individual
BETH UMANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
1330 SE 4TH AVE STE B, FORT LAUDERDALE, FL 33316-1958
(954) 463-3804
(954) 463-3805
Mailing address
1330 SE 4TH AVE STE B, FORT LAUDERDALE, FL 33316-1958
(954) 463-3804
(954) 463-3805
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9107407
FL
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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