Individual
JESSICA CRAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3700 WASHINGTON ST, #500, HOLLYWOOD, FL 33021-8256
(954) 989-4700
Mailing address
3700 WASHINGTON ST, #500, HOLLYWOOD, FL 33021-8256
(954) 989-4700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108913
FL
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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