Individual
MRS. DIANA KAY FIZETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
541 S FLORIDA AVE, LAKELAND, FL 33801-5228
(863) 682-7246
(863) 682-5566
Mailing address
PO BOX 100910, ATLANTA, GA 30384-4548
(863) 682-7246
(863) 682-5566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
02/06/2024
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