Repass, Ivan R

Repass, Ivan R is an individual health care provider with primary practice located at 701 Platinum Pt , Lake Mary FL 32746-4871. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Repass, Ivan R can be contacted via phone (407) 206-4500.

Contact Information

Primary practice address
701 Platinum Pt Lake Mary FL 32746-4871
Phone: (407) 206-4500
Fax: (407) 829-2563
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1668 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1668 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1668 Florida

Profile Details

NPI number 1548374770
LBN Legal business name Repass, Ivan R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Mar 6th, 2012 - about 12 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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