Individual
CHARITO ALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
683 DOUGLAS AVE, SUITE 101, ALTAMONTE SPRINGS, FL 32714-0913
(407) 478-1510
(407) 478-1512
Mailing address
683 DOUGLAS AVE, SUITE 101, ALTAMONTE SPRINGS, FL 32714-0913
(407) 478-1510
(407) 478-1512
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106054
FL
Other
Enumeration date
02/27/2012
Last updated
11/30/2012
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