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Individual

MR. PHILIP J CIUFO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1049 W ORANGE BLOSSOM TRL, APOPKA, FL 32712-3482
(407) 884-2952
(407) 884-9352
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788
(407) 447-7105
(407) 770-0594

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1966
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
092210000
FL
Enumeration date
12/22/2005
Last updated
08/14/2013
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