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TIA JANICKI, PA-C
PA-C
Physician Assistant
NPI: 1972636843IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA.1780(AL)PA9118346(FL)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2004
Contact & Hours
- Address
- 30 DANIEL CIR
GULF BREEZE, FL 32561 - Phone
- (850) 735-3376
Quick Facts
- NPI
- 1972636843
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 22
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