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PHILIP EUGENE WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
217 HILLCREST ST, ORLANDO, FL 32801-1211
(407) 425-1566
(407) 422-0166
Mailing address
335 GLESSNER AVE, MEDCENTRAL HEALTH SERVICES, MANSZFIELD, OH 44903
(407) 425-1566
(407) 422-0166

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2907
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
290248600
FL
Enumeration date
07/11/2005
Last updated
03/05/2009
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