Nathaly Antigua Suarez, PA-C

NPI #1003176322 in Lakeland, Florida

Provider Information

NPI Number: 1003176322
Entity Type: Individual
Name: Nathaly Antigua Suarez, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 21, 2012
Last Updated: May 21, 2012

Practice Location

Address: 1157 THOMASVILLE CIR
City: Lakeland
State: Florida
ZIP Code: 33811-3400
Phone: (863) 934-6230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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