Individual
MRS. JESSICA YVONNE SUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2863 S DELANEY AVE, ORLANDO, FL 32804
(407) 843-1620
(407) 843-5243
Mailing address
2863 S DELANEY AVE, ORLANDO, FL 32806-5412
(407) 843-1620
(813) 843-5243
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103037
FL
Other
Enumeration date
07/15/2006
Last updated
02/26/2013
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