Individual
JUDY CAVAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
514 MARY ESTHER CUT OFF NW, FORT WALTON BEACH, FL 32548-4025
(850) 226-8550
Mailing address
1213 MAPLE DR, EGLIN AFB, FL 32542-1446
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108832
FL
Other
Enumeration date
11/05/2015
Last updated
12/29/2016
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