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1871315069
SURAYYA TAHA
FORT MYERS, FL
NPI
1871315069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9119260)
Enumeration Date
2024-10-29
Last Update Date
2024-10-29
Business Address
SURAYYA TAHA PA-C
3650 COLONIAL CT
FORT MYERS, FL 33913-6636
Phone number: 239-274-6070
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Mailing Address
SURAYYA TAHA PA-C
247 DOVE TRL
BRADENTON, FL 34212-2963
Phone number: 941-348-7370
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