Carol L Takis, PA C

NPI #1922178706 in Clermont, Florida

Provider Information

NPI Number: 1922178706
Entity Type: Individual
Name: Carol L Takis, PA C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA C
Enumeration Date: Nov 8, 2006
Last Updated: Apr 22, 2020

Practice Location

Address: 1135 LAKE AVE
City: Clermont
State: Florida
ZIP Code: 34711
Phone: (352) 394-4035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Physician Assistant	363A00000X	Primary

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