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1174547335
DAVID PAYNE
LAKELAND, FL
NPI
1174547335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9100989)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
-- DAVID PAYNE PA
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1132
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Mailing Address
-- DAVID PAYNE PA
800 S DAKOTA AVE #424
TAMPA, FL 33606-2853
Phone number: 813-250-9194
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