Individual
CARMEN LUCY GIDDINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1733 DAVID WALKER DR, TAVARES, FL 32778-5745
(352) 508-1830
(352) 720-0905
Mailing address
1733 DAVID WALKER DR, TAVARES, FL 32778-5745
(352) 508-1830
(352) 720-0905
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9103528
LICENSE NO.
FL
Enumeration date
07/31/2006
Last updated
05/17/2021
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