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1184666372
MICHAEL A GAUTHIER
TAMPA, FL
NPI
1184666372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: ME PA001120)
Enumeration Date
2006-06-12
Last Update Date
2013-04-19
Business Address
-- MICHAEL A GAUTHIER P.A.
12880 COMMODITY PL
TAMPA, FL 33626-3101
Phone number: 813-343-5500
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Mailing Address
-- MICHAEL A GAUTHIER P.A.
PO BOX 21686
TAMPA, FL 33622-1686
Phone number: 813-343-5500
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