Individual
MAHEK FATEMA KERMALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
635 N MAITLAND AVE, MAITLAND, FL 32751-4422
(407) 436-9601
Mailing address
635 N MAITLAND AVE, MAITLAND, FL 32751-4422
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9119654
FL
Other
Enumeration date
12/25/2024
Last updated
12/25/2024
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