Provider Type: Physician Assistants & Advanced Practice Nursing Providers
Provider Classification: Physician Assistant
Provider Specialization: Surgical
Address: 12880 Commodity Pl
Tampa, FL 33626-3101
Phone: (813) 865-1340
Fax: (813) 865-1348
Authorized Official: Persaud, Taijwanttie, PAC
Authorized Official Position: President
Authorized Official Phone: (813) 865-1340


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