Individual
RILEY ANNE THEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(904) 327-8850
Mailing address
1120 NATURES HAMMOCK RD S, SAINT JOHNS, FL 32259-2879
(904) 327-8850
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9114643
FL
Other
Enumeration date
01/13/2019
Last updated
07/05/2023
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