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Individual

GREGORY TESTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-5437
Mailing address
533 N SUMMERLIN AVE, ORLANDO, FL 32803-5350
(954) 336-4734

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9105194
FL
363AM0700X
Medical Physician Assistant
Primary
PA9105194
FL

Other

Enumeration date
01/13/2013
Last updated
01/13/2013
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