Individual
DANIEL T VETROSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
545 BRENT LN, PENSACOLA, FL 32503-2003
(850) 477-5437
(850) 484-4283
Mailing address
545 BRENT LN, PENSACOLA, FL 32503-2003
(850) 477-5437
(850) 484-4283
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2657
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7169391
AETNA
FL
Enumeration date
07/30/2006
Last updated
07/08/2007
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