Individual
MR. ANTHONY STEPHEN MUSALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0486
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-0301
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9103348
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001343900
—
FL
Enumeration date
09/20/2006
Last updated
11/24/2009
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