Individual
ELENA FILIPPONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17805 WILLOW LAKE DR, ODESSA, FL 33556-4724
(727) 859-3423
Mailing address
17805 WILLOW LAKE DR, ODESSA, FL 33556-4724
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9118552
FL
Other
Enumeration date
09/26/2022
Last updated
05/15/2024
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