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MS. KRISTINE ROBERTA ILGENFRITZ PAC

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

Registrant NPI Number: 1144382623

Individual Registrant:
MS. KRISTINE ROBERTA ILGENFRITZ PAC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
109 TIMBERLACHEN CIR  LAKE MARY, FL 32746-3395 US
Tel: 407-333-9877  Fax: 407-333-9881

Contact information for business:
109 TIMBERLACHEN CIR  LAKE MARY, FL 32746-3395 US
Tel: 407-333-9877  Fax: 407-333-9881

Registration Information:
NPI: 1144382623
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FLPA9100962

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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