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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. IVAN R REPASS, PA-C

Active

MR. IVAN R REPASS, PA-C is a Physician Assistant healthcare provider located in LAKE MARY, Florida. NPI 1548374770 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAKE MARY, FL

Registration Details

NPI Number
1548374770
Provider Type
Individual
Gender
Male
NPI Issued
Aug 17, 2006 (19.996190518648 yrs)
Last Updated
Mar 6, 2012
Licenses
PA1668 (FL)
PA1668 (FL)
PA1668 (FL)

Practice Information

Address
701 PLATINUM PT
LAKE MARY, FL, 327464871
Browse FL providers · Browse ZIP 32746
Phone
4072064500
Fax
4078292563
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Physician Assistant Providers in LAKE MARY, FL

Name Credential NPI
MRS. KRISTEN ELISE SMETHURST P. A.-C 1730140393
LINDA G NEW PA 1316984040
JAMES R PIOTROWSKI PAC-MS 1124031885
DAVID M FITZMAURICE PA 1194834259
MS. KRISTINE ROBERTA ILGENFRITZ PAC 1144382623
PAMELA LEANN YARRINGTON PA-C, MPAS 1821133935
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.