SANDRA ELKHOULY BAINDURASHVILI

TAMPA, FL
NPI1558307520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9101843)
Additional Taxonomies363A00000X Physician Assistant
(Licence: IL  085-002503)
Enumeration Date2006-06-20
Last Update Date2007-10-31
Business Address
Mrs. SANDRA ELKHOULY BAINDURASHVILI PA-C
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4742
Phone number: 813-259-8690
Mailing Address
Mrs. SANDRA ELKHOULY BAINDURASHVILI PA-C
PO BOX 917770
ORLANDO, FL 32891-7770
Phone number: 813-259-8690