Individual
BEVERLY D CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
26218 US HIGHWAY 27, LEESBURG, FL 34748-1707
(352) 350-5230
Mailing address
26218 US HIGHWAY 27, LEESBURG, FL 34748-1707
(352) 350-5230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9107812
FL
Other
Enumeration date
02/13/2006
Last updated
02/26/2016
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