Individual
MISS PAULA S PROCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 VONDERBURG DR, SUITE 311 WEST, BRANDON, FL 33511-5964
(813) 654-2445
(813) 654-9885
Mailing address
500 VONDERBURG DR, 311W, BRANDON, FL 33511-5964
(813) 654-2445
(813) 654-9885
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100666
FL
Other
Enumeration date
11/09/2006
Last updated
10/01/2013
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