Individual
JAYNE H MITTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A - C
Contact information
Practice address
2452 MAHAN DR, SUITE 101, TALLAHASSEE, FL 32308-5377
(850) 877-2126
(850) 878-5190
Mailing address
2452 MAHAN DR, SUITE 101, TALLAHASSEE, FL 32308-5377
(850) 877-2126
(850) 878-5190
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2473
FL
Other
Enumeration date
08/19/2006
Last updated
02/07/2008
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