Individual
MRS. CHRISTY LASSITER DELCAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1501 PASADENA AVE S, SOUTH PASADENA, FL 33707-3717
(863) 341-7777
Mailing address
300 S PARK RD STE 400, HOLLYWOOD, FL 33021-8353
(800) 815-8377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9105893
FL
363AS0400X
Surgical Physician Assistant
PA 9105893
FL
Other
Enumeration date
02/04/2011
Last updated
11/14/2013
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