NPI 1083665459

Carlene D. Waters-Hollingsworth, PAC

Practitioner Physician Assistant Ocoee, FL

Practice location

Address: 10000 W Colonial Dr STE 495, Ocoee, FL 34761-3436
Phone: (407) 293-5944
Fax: (407) 293-7355

Registered specialties (4)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9104786 (FL)

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Physician Assistant

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Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA9104786 (FL)

Surgical Physician Assistant

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Registry record

NPI: 1083665459
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 May 2006
Record last updated: 23 Feb 2016

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.