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Individual

DANA J. KILLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
550 POPE AVE NW, SUITE 200, WINTER HAVEN, FL 33881-4679
(863) 299-2630
(863) 969-0723
Mailing address
3240 S FLORIDA AVE, SUITE 101, LAKELAND, FL 33803-4574
(863) 644-7337
(863) 904-0398

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA734
KY
363A00000X
Physician Assistant
Primary
PA9108494
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95002994
KY
Enumeration date
03/12/2007
Last updated
06/05/2015
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