Individual
MRS. BRITTANY OLIPHANT VENEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
8419 SW 46TH RD, GAINESVILLE, FL 32608-8100
(727) 415-1103
Mailing address
8419 SW 46TH RD, GAINESVILLE, FL 32608-8100
(727) 415-1103
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107982
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013047600
—
FL
Enumeration date
07/02/2014
Last updated
11/05/2014
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