Age, Damaris
Age, Damaris is an individual health care provider with primary practice located at 963 Town Center Dr Ste 100 , Orange City FL 32763-8254. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Age, Damaris can be contacted via phone (217) 238-3000.Contact Information
Primary practice address
963 Town Center Dr Ste 100
Orange City FL 32763-8254
Phone: (217) 238-3000
Fax: (217) 238-3008
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085004462 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9110129 | Florida |
Profile Details
NPI number | 1023360294 |
---|---|
LBN Legal business name | Age, Damaris |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 11th, 2012 |
Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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