Individual
JANE BUZZELL CRITCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9108793
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015461900
—
FL
01
—
PA9108793
MEDICAL LICENSE
FL
Enumeration date
07/17/2015
Last updated
02/04/2020
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