Provider Demographics
NPI:1801832530
Name:WEBB, ALICE C (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:C
Last Name:WEBB
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:550 HERITAGE DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-3029
Mailing Address - Country:US
Mailing Address - Phone:561-630-0303
Mailing Address - Fax:561-630-6011
Practice Address - Street 1:550 HERITAGE DR
Practice Address - Street 2:SUITE 105
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3029
Practice Address - Country:US
Practice Address - Phone:561-630-0303
Practice Address - Fax:561-630-6011
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9103343363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical