Most Relevant Information
Provider Data
| NPI Number: | 1003176322 |
| Provider Name: | NATHALY ANTIGUA SUAREZ PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA9106590 |
Most Important Dates
| Enumeration Date: | 05/21/2012 |
| Last Updated: | 05/21/2012 |
Provider Practice Location
1157 THOMASVILLE CIR
LAKELAND
FL
338113400
Practice Location Phone/Fax
| Phone: | 8639346230 |
| Fax: |
Provider Mailing Location
1157 THOMASVILLE CIR
LAKELAND
FL
338113400
Provider Mailing Phone/Fax
| Phone: | 8639346230 |
| Fax: |