Individual
JOSEPH E PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2551 BOGGY CREEK RD, KISSIMMEE, FL 34744-3806
(407) 348-0990
Mailing address
2551 BOGGY CREEK RD, KISSIMMEE, FL 34744-3806
(407) 348-0990
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9103407
FL
Other
Enumeration date
01/16/2006
Last updated
01/25/2013
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