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Individual

MRS. PATRICIA HILLIGOSS

Active
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Individual

MRS. PATRICIA HILLIGOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9104013
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1228623
WELLCARE
FL
01
3550055
CIGNA
FL
01
398590
AVMED
FL
01
5186901
AETNA
FL
01
P01217083
RAILROAD MCR
FL
01
P1019785
FREEDOM
FL
01
P958314
OPTIMUM
FL
01
Y0J30
BCBS OF FL
FL
Enumeration date
12/29/2006
Last updated
12/29/2016
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