LEILANI PHELAN

TAMPA, FL
NPI1407126394
Former NameLEILANI OTERO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9106375)
Enumeration Date2012-01-09
Last Update Date2019-05-15
Business Address
LEILANI PHELAN PA-C
15320 AMBERLY DR SUITE A
TAMPA, FL 33647-1647
Phone number: 813-977-2090
Mailing Address
LEILANI PHELAN PA-C
15320 AMBERLY DR SUITE B
TAMPA, FL 33647-1647
Phone number: 813-977-0733
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