Individual provider · Type 1 NPI

Ryan K. Krasnosky, PAC

Surgical Physician Assistant · Pensacola, FL

NPI number 1780698001 Active

Practice location

5153 N 9th Ave
Pensacola, FL 32504-8785

Call (850) 505-4700 Map

Fax (850) 505-4711

Mailing address

PO Box 568908
Orlando, FL 32856-8908

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9101760 (FL)
Medical Physician Assistant 363AM0700XPA9101760 (FL)
Physician Assistant 363A00000XPA9101760 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1780698001

Ryan K. Krasnosky, PAC's National Provider Identifier is 1780698001, issued on Jul 29, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pensacola, FL. The record was last updated on May 23, 2008.