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Individual

CARA TRUDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
201 HILDA ST STE 26, KISSIMMEE, FL 34741-2359
(407) 944-3071
(407) 944-3061
Mailing address
201 HILDA ST STE 26, KISSIMMEE, FL 34741-2359
(407) 944-3071
(407) 944-3061

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111682
FL
363AM0700X
Medical Physician Assistant
PA9111682
FL

Other

Enumeration date
10/10/2018
Last updated
04/04/2019
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