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Individual

BRITTANY JEANNE OLOFSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
6099 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-8721
(352) 794-6868
(352) 794-6869
Mailing address
6099 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-8721
(352) 794-6868
(352) 794-6869

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PAT9104333
FL
363AM0700X
Medical Physician Assistant
Primary
PAT9104333
FL
363AS0400X
Surgical Physician Assistant
PAT9104333
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PAT9104333
STATE LICENSE#
Enumeration date
09/18/2007
Last updated
03/23/2016
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