Mathis, Anisa Lee

Mathis, Anisa Lee is an individual health care provider with primary practice located at 113 Lielmanis Ave , Hurlburt Field FL 32544-5613. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mathis, Anisa Lee can be contacted via phone (850) 881-2337.

Contact Information

Primary practice address
113 Lielmanis Ave Hurlburt Field FL 32544-5613
Phone: (850) 881-2337
Fax: (850) 881-2323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9102039 Florida

Profile Details

NPI number 1285640813
LBN Legal business name Mathis, Anisa Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 17 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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