ANNA E MALINE

PORT ST LUCIE, FL
NPI1275913907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: PA  MA057603)
Additional Taxonomies363A00000X Physician Assistant
(Licence: PA  OA003849)
363A00000X Physician Assistant
(Licence: FL  PA9115737)
Enumeration Date2015-06-08
Last Update Date2025-01-29
Business Address
ANNA E MALINE PA-C
1034 SE PROCTOR LN
PORT ST LUCIE, FL 34983-2616
Phone number: 772-595-5150
Mailing Address
ANNA E MALINE PA-C
1034 SE PROCTOR LN
PORT ST LUCIE, FL 34983-2616
Phone number: 724-991-2111