Individual
AUDREY L FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4106 W LAKE MARY BLVD STE 212, LAKE MARY, FL 32746-3344
(407) 333-2525
Mailing address
661 E ALTAMONTE DR STE 231, ALTAMONTE SPRINGS, FL 32701-5102
(407) 303-5214
(407) 303-5215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109822
FL
Other
Enumeration date
07/23/2016
Last updated
12/15/2020
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