COLLEEN L URSIC

DAYTONA BEACH, FL
NPI1841668068
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA 9108889)
Enumeration Date2015-09-03
Last Update Date2019-01-16
Business Address
COLLEEN L URSIC PA-C
655 N CLYDE MORRIS BLVD STE B
DAYTONA BEACH, FL 32114-2321
Phone number: 386-252-5578
Mailing Address
COLLEEN L URSIC PA-C
4651 VAN DYKE RD
LUTZ, FL 33558-4880
Phone number: 813-321-1786
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