Individual
MISS MARY ANNE NEMENTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
1106 DRUID RD S, SUITE 301, CLEARWATER, FL 33756-3846
(727) 446-5681
(727) 462-6251
Mailing address
1106 DRUID RD S, SUITE 301, CLEARWATER, FL 33756-3846
(727) 446-5681
(727) 462-6251
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
F0034
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F01034
CST
FL
Enumeration date
09/20/2007
Last updated
09/20/2007
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