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Individual

DEBORAH AYRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
736 CENTRAL AVE, SARASOTA, FL 34236-4042
(941) 365-3913
Mailing address
736 CENTRAL AVE, SARASOTA, FL 34236-4042
(941) 365-3913

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 2085
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA 2085
FL DEPT OF HEALTH STATE LICENSE
FL
Enumeration date
05/13/2011
Last updated
05/13/2011
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