John Loftis Valid NPI

Individual provider · Physician Assistant · Fort Walton Beach, FL

NPI

1154953743

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

9112927 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2020-02-11

Last updated

2020-02-11