Individual
FANNY TSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21150 BISCAYNE BLVD STE 208, AVENTURA, FL 33180-1231
(954) 482-4747
Mailing address
829 SW 13TH ST, FORT LAUDERDALE, FL 33315-1448
(954) 993-7084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9107621
FL
Other
Enumeration date
11/18/2013
Last updated
10/23/2019
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