Individual
TROY A WUBBENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, PHD
Contact information
Practice address
8451 SHADE AVE, STE 108, SARASOTA, FL 34243-2878
(941) 360-1030
(941) 360-1202
Mailing address
8451 SHADE AVE, STE 108, SARASOTA, FL 34243-2878
(941) 360-1030
(941) 360-1202
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104389
FL
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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