Organization
MED-SURG PAS INC
Active
Other names
Wimauma Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT ALLEN FRENCH PAC (PRESIDENT OWNER)
(813) 633-8489
Entity
Organization
Contact information
Practice address
5121 STATE ROAD 674, WIMAUMA, FL 33598-3515
(813) 633-8489
(813) 633-2669
Mailing address
5121 STATE ROAD 674, WIMAUMA, FL 33598-3515
(813) 633-8489
(813) 633-2669
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100944
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660052200
—
FL
05
—
660052201
—
FL
Enumeration date
02/21/2007
Last updated
10/13/2008
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