Individual
GLORIA WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 OHIO AVE S, LIVE OAK, FL 32064-4146
(386) 339-1060
Mailing address
2787 KISSIMMEE BAY CIR, KISSIMMEE, FL 34744-3946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9111162
FL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/29/2018
Last updated
09/09/2018
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