Individual provider · Type 1 NPI

Mary Elizabeth Fisette, PA-C

Medical Physician Assistant · Orlando, FL

NPI number 1255608204 Active

Practice location

86 W Underwood St, Suite 102
Orlando, FL 32806-1110

Fax (312) 841-2425

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 9106021 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1255608204

Mary Elizabeth Fisette, PA-C's National Provider Identifier is 1255608204, issued on Nov 18, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orlando, FL. The record was last updated on Feb 14, 2013.