Individual provider · Type 1 NPI

Anisa Lee Mathis, PA-C

Medical Physician Assistant · Hurlburt Field, FL

NPI number 1285640813 Active

Practice location

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613

Fax (850) 881-5832

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9102039 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1285640813

Anisa Lee Mathis, PA-C's National Provider Identifier is 1285640813, issued on Aug 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hurlburt Field, FL. The record was last updated on Jan 9, 2025.