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1841543063
TRACI CELESTE DIPHILLIPPO
HOLLYWOOD, FL
NPI
1841543063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9107681)
Enumeration Date
2012-10-25
Last Update Date
2024-06-10
Business Address
TRACI CELESTE DIPHILLIPPO PA
4060 SHERIDAN ST STE C
HOLLYWOOD, FL 33021-3559
Phone number: 954-987-7512
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Mailing Address
TRACI CELESTE DIPHILLIPPO PA
4060 SHERIDAN ST STE 200
HOLLYWOOD, FL 33021-3559
Phone number: 954-987-7512
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