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Individual

MRS. COURTNEY CALI TITUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
601 5TH ST S, ALL CHILDREN'S SPECIALTY PHYSICIANS OCC, SUITE 501, SAINT PETERSBURG, FL 33701-4804
(727) 767-8480
(727) 767-8420
Mailing address
601 5TH ST S, ALL CHILDREN'S SPECIALTY PHYSICIANS OCC, SUITE 501, SAINT PETERSBURG, FL 33701-4804
(727) 767-8480
(727) 767-8420

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106035
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003900700
FL
Enumeration date
07/27/2011
Last updated
08/17/2016
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