Individual
BIANCA N FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11951 US HIGHWAY 1 STE 108, NORTH PALM BEACH, FL 33408-2804
(561) 429-6109
Mailing address
11951 US HIGHWAY 1 STE 108, NORTH PALM BEACH, FL 33408-2804
(786) 399-5561
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9113960
FL
363AM0700X
Medical Physician Assistant
Primary
PA9113960
FL
Other
Enumeration date
02/07/2021
Last updated
02/09/2021
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