Individual
BRIDGET BOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6044 DOCTORS PARK, MILTON, FL 32570-5072
(850) 226-6801
Mailing address
3086 KILLARNEY DR, PACE, FL 32571-8430
(631) 379-3067
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
020808
NY
363A00000X
Physician Assistant
Primary
PA9111095
FL
Other
Enumeration date
05/22/2017
Last updated
05/08/2021
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