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Contact Information

ALOYSIUS T BISONG JR, PA
808 HIGHWAY 466
LADY LAKE, FL32159
 Phone: 352-751-0040
 Fax: 352-751-2825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ALOYSIUS T BISONG JR · (Male)

NPI Number 1124294947
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/01/2008
Last updated 08/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PA 9105417
  • FL License # PA9105417
  • FL Other PA9105417 MEDICAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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