Individual
JEAN MARY MAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7700 W SUNRISE BLVD, PLANTATION, FL 33322-4113
(866) 267-9111
Mailing address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114928
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
01/03/2020
Last updated
10/26/2021
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