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1174032247
HEATHER TATE
ST PETERSBURG, FL
NPI
1174032247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9110573)
Enumeration Date
2017-09-21
Last Update Date
2019-08-29
Business Address
HEATHER TATE
6006 49TH ST N STE 200
ST PETERSBURG, FL 33709-2149
Phone number: 727-490-2100
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Mailing Address
HEATHER TATE
6006 49TH ST N STE 200
ST PETERSBURG, FL 33709-2149
Phone number:
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