Individual
BIANCA IGLESIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
993 45TH ST, MANGONIA PARK, FL 33407-2413
(561) 257-3348
Mailing address
993 45TH ST, MANGONIA PARK, FL 33407-2413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
52266
CA
363A00000X
Physician Assistant
Primary
PA9115076
FL
Other
Enumeration date
04/02/2015
Last updated
10/31/2022
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