Individual
MARLEE VAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9510 BONITA BEACH ROAD, SUITE 101, BONITA SPRINGS, FL 34135
(239) 597-1400
Mailing address
9510 BONITA BEACH RD, SE UNIT 101, BONITA SPRINGS, FL 34135
(239) 597-1400
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103416
FL
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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