MR. Michael Andrew Humphrey, PA

NPI #1164526737 in Lady Lake, Florida

Provider Information

NPI Number
1164526737
Entity Type
Individual
Name
MR. Michael Andrew Humphrey, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Sep 12, 2006
Last Updated
Feb 13, 2020

Practice Location

Address
805 E COUNTY ROAD 466
State
Florida
ZIP Code
32159
Phone
(352) 674-9218

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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