Individual
KAILA HANSON WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-8323
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9109667
FL
Other
Enumeration date
09/29/2016
Last updated
08/20/2020
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