Individual provider · Type 1 NPI

Laurie K. Wisotsky, PA-C

Surgical Physician Assistant · Tampa, FL

NPI number 1720161318 Active

Practice location

12880 Commodity Pl, C/o United Surgical Assistants, Inc.
Tampa, FL 33626-3101

Call (877) 872-5788 Map

Fax (866) 698-7272

Mailing address

PO Box 21686, C/o United Surgical Assistants, Inc.
Tampa, FL 33622-1686

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9103684 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1720161318

Laurie K. Wisotsky, PA-C's National Provider Identifier is 1720161318, issued on Oct 24, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tampa, FL. The record was last updated on Jul 17, 2007.