Individual
JANET M TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC MPAS MBA
Contact information
Practice address
5201 RAYMOND STREET, ORLANDO, FL 32803
(407) 629-1599
Mailing address
5201 RAYMOND STREET, ORLANDO, FL 32803
(407) 629-1599
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9103354
FL
Other
Enumeration date
07/07/2006
Last updated
04/20/2011
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