Individual provider · Type 1 NPI

Demittre Andre Anthony Sorenson, PA-C

Medical Physician Assistant · Maitland, FL

NPI number 1881264455 Active

Practice location

740 Concourse Pkwy S Ste 200
Maitland, FL 32751-8101

Mailing address

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916-2216

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XPA9114808 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1881264455

Demittre Andre Anthony Sorenson, PA-C's National Provider Identifier is 1881264455, issued on Jun 28, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Maitland, FL. The record was last updated on Sep 6, 2022.