Individual
DYLAN CHRISTOPHER PAPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 N ORANGE AVE STE 340, ORLANDO, FL 32804-4601
(407) 895-8890
Mailing address
2200 DOULTON DR, ORLANDO, FL 32812-8408
(860) 836-1318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9112199
FLORIDA PA LICENSE
FL
Enumeration date
12/16/2018
Last updated
05/22/2019
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