Individual
RYAN K KRASNOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
5153 N 9TH AVE, PENSACOLA, FL 32504-8785
(850) 505-4700
(850) 505-4711
Mailing address
PO BOX 568908, ORLANDO, FL 32856-8908
(850) 505-4700
(407) 650-7030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9101760
FL
363AM0700X
Medical Physician Assistant
PA9101760
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9101760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291126400
—
FL
Enumeration date
07/29/2006
Last updated
05/23/2008
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