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Individual

ANNETTE SOPHIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
10190 SW 3RD ST, PLANTATION, FL 33324-2234
(954) 382-2930
Mailing address
10885 NW 6TH ST, CORAL SPRINGS, FL 33071-7941
(954) 382-2930
(954) 382-4910

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9107333
FL

Other

Enumeration date
08/07/2013
Last updated
08/07/2013
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