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Individual

MRS. CAITLIN M SPAULDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
401 NW 42ND AVE, PLANTATION, FL 33317-2835
(561) 866-2975
Mailing address
401 NW 42ND AVE, PLANTATION, FL 33317
(561) 866-2975

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9104838
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA9104838
FL MEDICAL LICENSE
FL
Enumeration date
10/24/2008
Last updated
09/26/2014
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