Individual
KRISTINA VANESSA MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
602 S AUDUBON AVE, SUITE B, TAMPA, FL 33609-4217
(813) 348-4885
(813) 875-4149
Mailing address
602 S AUDUBON AVE, SUITE B, TAMPA, FL 33609-4217
(813) 348-4885
(813) 875-4149
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAT9106824
FL
Other
Enumeration date
10/25/2012
Last updated
12/07/2017
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