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LAWRENCE CRAIG TILL PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1497787063

Individual Registrant:
 LAWRENCE CRAIG TILL PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
15932 E HIGHWAY 40  SILVER SPRINGS, FL 34488-5144 US
Tel: 352-625-7777  Fax: 352-625-1970

Contact information for business:
15932 E HIGHWAY 40  SILVER SPRINGS, FL 34488-5144 US
Tel: 352-625-7777  Fax: 352-625-1970

Registration Information:
NPI: 1497787063
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FLPA9101867

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
291156600FL05




HEALTH CARE JOBS FL - Page 1



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