Individual
ANN M CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2915 LAKEVIEW DR STE 2021, FERN PARK, FL 32730-2056
(866) 400-3376
(407) 788-8834
Mailing address
151 SOUTHHALL LN, STE 300, MAITLAND, FL 32751-7176
(866) 400-3376
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2529
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290480200
—
FL
Enumeration date
08/30/2006
Last updated
04/23/2024
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