MICKEY L BATH

GAINESVILLE, FL
NPI1053376012
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA 0002191)
Enumeration Date2006-04-20
Last Update Date2010-11-29
Business Address
-- MICKEY L BATH PAC
1600 SW ARCHER RD
GAINESVILLE, FL 32610-3003
Phone number: 352-392-1161
Mailing Address
-- MICKEY L BATH PAC
PO BOX 918025
ORLANDO, FL 32891-8025
Phone number: 352-392-1161