Individual
MRS. MAUREEN ANN BLAIS-GESTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
7013 S TAMIAMI TRL, SARASOTA, FL 34231-5552
(941) 870-4440
Mailing address
7013 S TAMIAMI TRL, SARASOTA, FL 34231-5552
(941) 870-4440
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA91010654
STATE LICENSE
FL
Enumeration date
03/09/2006
Last updated
07/10/2014
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