NPI 1003107822

Expedito Marvilla Salvador, PA

Practitioner Medical Physician Assistant Tallahassee, FL

Practice location

Address: 960 Learning Way, Tallahassee, FL 32306-4178
Phone: (850) 644-1802
Fax: (850) 644-4251

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 9100265 (PA)

Other Physician Assistant providers in Florida →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Registry record

NPI: 1003107822
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Apr 2011
Record last updated: 4 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.