Marshall Kruhm, Liza

Marshall Kruhm, Liza is an individual health care provider with primary practice located at 1201 S Orlando Ave Suite 200, Winter Park FL 32789-7109. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Marshall Kruhm, Liza can be contacted via phone (407) 622-5766.

Contact Information

Primary practice address
1201 S Orlando Ave Suite 200 Winter Park FL 32789-7109
Phone: (407) 622-5766
Fax: (407) 622-5767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9103730 Florida

Profile Details

NPI number 1285719476
LBN Legal business name Marshall Kruhm, Liza
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Apr 22nd, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285719476 NPPES
Florida Other PA9103730 FLORIDA LICENSE

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