Individual
MR. JOSEPH ANTHONY ALTAMIRANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1213 STATE ROAD 20, INTERLACHEN, FL 32148-2737
(386) 684-4914
Mailing address
1213 STATE ROAD 20, INTERLACHEN, FL 32148
(386) 684-4914
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105705
FL
Other
Enumeration date
10/05/2010
Last updated
02/08/2013
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