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Individual

MRS. ANISA LEE MATHIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-5221
(850) 881-5832
Mailing address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-2337
(850) 881-2323

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102039
FL

Other

Enumeration date
08/01/2006
Last updated
01/09/2025
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