Individual
JUSTIN FITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7960 N WICKHAM RD STE 103, MELBOURNE, FL 32940-8096
(321) 428-4737
(321) 241-6457
Mailing address
7960 N WICKHAM RD STE 103, MELBOURNE, FL 32940-8096
(321) 428-4737
(321) 241-6457
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
PA9105662
FL
363A00000X
Physician Assistant
PA9105662
FL
Other
Enumeration date
03/29/2011
Last updated
10/29/2021
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