Alyssa San Diego, PA-C

NPI #1194593376 in Davenport, Florida

Provider Information

NPI Number: 1194593376
Entity Type: Individual
Name: Alyssa San Diego, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 18, 2023
Last Updated: Mar 2, 2025

Practice Location

Address: 2310 NORTH BLVD W STE A
City: Davenport
State: Florida
ZIP Code: 33837-8988
Phone: (813) 701-5804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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