Fitzgerald, Audrey L

Fitzgerald, Audrey L is an individual health care provider with primary practice located at 4106 W Lake Mary Blvd Ste 212 , Lake Mary FL 32746-3344. 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. Fitzgerald, Audrey L can be contacted via phone (407) 333-2525.

Contact Information

Primary practice address
4106 W Lake Mary Blvd Ste 212 Lake Mary FL 32746-3344
Phone: (407) 333-2525
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9109822 Florida

Profile Details

NPI number 1568915791
LBN Legal business name Fitzgerald, Audrey L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2016
Last updated Dec 15th, 2020 - about 4 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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