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NPI Code Detail

MEDICARE: THERESA HELSEL PA-C

MEDICARE: THERESA HELSEL PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant9107593FL

General Provider Information

NPI Number : 1912336215
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA HELSEL PA-C
Provider Business Mailing Address
First Line : 2850 MORNINGSIDE DR
Second Line :
City : MOUNT DORA
State : FL
Zip : 32757-6610
Country : US
Telephone Number : 407-332-8080
Fax Number :
Provider Business Practice Location Address
First Line : 2850 MORNINGSIDE DR
Second Line :
City : MOUNT DORA
State : FL
Zip : 32757-6610
Country : US
Telephone Number : 352-383-0733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2013
Last Update Date : 11/18/2022

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Directions to “ THERESA HELSEL PA-C” Practice Location

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