Individual
JANET FAITH MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1250
(863) 687-1258
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 284-1611
(863) 284-1730
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9104602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9104602
STATE LIC
FL
Enumeration date
08/27/2008
Last updated
08/27/2008
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