Individual
ASHLEIGH ANNE AUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
8725 N WICKHAM RD STE 302, MELBOURNE, FL 32940-2240
(321) 434-9561
(321) 434-9231
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-9561
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107438100
—
FL
01
—
MU532
MEDICARE
FL
Enumeration date
07/28/2016
Last updated
10/06/2020
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