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Individual

LINDSEY REPASS WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1340 TUSKAWILLA RD STE 101-5, WINTER SPRINGS, FL 32708-5030
(407) 699-1160
(407) 699-7861
Mailing address
1340 TUSKAWILLA RD STE 101-5, WINTER SPRINGS, FL 32708-5030
(407) 699-1160
(407) 699-7861

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102892
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA9102892
FL LICENSE
FL
Enumeration date
07/21/2005
Last updated
10/24/2016
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