Kelly Marzouka-Fernandez
Physician Assistant in Palmetto Bay, FL. Individual provider (NPI-1).
NPI number1639824972
StatusActive
Last updated in NPPESFeb 15, 2022
Details
- NPI
- 1639824972
- Entity type
- Individual (NPI-1)
- Name
- Kelly Marzouka-Fernandez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 15, 2022
- Certification date
- Feb 15, 2022
- Last updated
- Feb 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9115692 | FL | Yes |
Practice location
8425 Sw 156th StPalmetto Bay, FL 33157-2164
Phone 305-878-0393
Mailing address
8425 Sw 156th StPalmetto Bay, FL 33157-2164
Phone 305-878-0393
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Other Physician Assistant providers in Palmetto Bay, FL
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All 7 Physician Assistant providers in Palmetto Bay · All 1,112 providers in Palmetto Bay
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