Female

Selena Houck PA-C

Medical Physician Assistant in Sanford, FL(View on Map)

Full Name

Selena Houck PA-C

NPI Number

1164148466

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/18/2022

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9116484

Contact
Information

Purpose

Mailing
Location

Address

4930 E LAKE MARY BLVD
4930 E LAKE MARY BLVD

City

Sanford
Sanford

State

FL
FL

Postal Code

32771-5003
32771-5003

Country

US
US

Telephone Number

N/A
(407) 322-8645

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/18/2022

Provider Address

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