Individual
MRS. LIZA MARSHALL KRUHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1201 S ORLANDO AVE, SUITE 200, WINTER PARK, FL 32789-7109
(407) 622-5766
(407) 622-5767
Mailing address
951 BROKEN SOUND PKWY NW, SUITE 225, BOCA RATON, FL 33487-3507
(561) 241-9300
(561) 372-0214
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9103730
FLORIDA LICENSE
FL
Enumeration date
10/26/2006
Last updated
04/22/2015
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