MR. Ivan R Repass, PA-C

NPI #1548374770 in Lake Mary, Florida

Provider Information

NPI Number
1548374770
Entity Type
Individual
Name
MR. Ivan R Repass, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Aug 17, 2006
Last Updated
Mar 6, 2012

Practice Location

Address
701 PLATINUM PT
State
Florida
ZIP Code
32746-4871
Phone
(407) 206-4500

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - MedicalMedical
Physician Assistant - SurgicalSurgical

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