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1982168118
JOE SOUTH
TAMPA, FL
NPI
1982168118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL 9111972)
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
Mr. JOE SOUTH PA-C
2502 W SAINT ISABEL ST STE B
TAMPA, FL 33607-6318
Phone number: 813-874-5707
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Mailing Address
Mr. JOE SOUTH PA-C
411 N FEDERAL HWY APT 408
HALLANDALE BEACH, FL 33009-3483
Phone number: 352-431-0989
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