Victoria A Spain PA-C

NPI 1700858206 - Physician Assistant - 363AS0400X

NPI Details
NPI 1700858206
Gender Female
Enumeration Date 02/07/2006
Last Updated 11/12/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
490 N WASHINGTON AVE
TITUSVILLE FL, 32796-2871, US
Phone (321) 268-4200
Fax (321) 264-2918
Business Location
490 N WASHINGTON AVE
TITUSVILLE FL, 32796-2871, US
Phone (321) 268-4200
Fax (321) 264-2918
Toxanomy
Taxonomy Code 363AS0400X
License State North Carolina
License Number 0001-03562
Remove 1700858206 NPI Number
 

According to our database, Ms. Victoria A Spain PA-C NPI is 1700858206, taxonomy code is 363AS0400X and license number is 0001-03562, license state is located at North Carolina. Victoria A Spain PA-C physically located at 490 N Washington Ave, Titusville FL, 32796-2871. NPI Number Victoria A Spain PA-C has the Individual type.

Sponsored links

1700858206 NPI number is provided on an as is basis without warranty of any kind. 1700858206 is maintained by the National Plan & Provider Enumeration System. The contents of Victoria A Spain PA-C are for informational purposes only.