Kristine Roberta Ilgenfritz PAC

NPI 1144382623 - Physician Assistant - 363A00000X

NPI Details
NPI 1144382623
Gender Female
Enumeration Date 12/14/2006
Last Updated 01/08/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
1718 LEXINGTON GREEN LN
SANFORD FL, 32771-1018, US
Phone (407) 268-9661
Fax (407) 788-0404
Business Location
10051 5TH ST N
SUITE 200
ST PETERSBURG FL, 33702-2289, US
Phone (727) 824-0780
Fax (407) 788-3746
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA9100962
Remove 1144382623 NPI Number
 

According to our database, Ms. Kristine Roberta Ilgenfritz PAC NPI is 1144382623, taxonomy code is 363A00000X and license number is PA9100962, license state is located at Florida. Kristine Roberta Ilgenfritz PAC physically located at 1718 Lexington Green Ln, Sanford FL, 32771-1018. NPI Number Kristine Roberta Ilgenfritz PAC has the Individual type.

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1144382623 NPI number is provided on an as is basis without warranty of any kind. 1144382623 is maintained by the National Plan & Provider Enumeration System. The contents of Kristine Roberta Ilgenfritz PAC are for informational purposes only.