Kayla Maczuga, PA-C
Physician Assistant in Fort Myers, FL. Individual provider (NPI-1).
NPI number1891504643
StatusActive
Last updated in NPPESJan 6, 2025
Details
- NPI
- 1891504643
- Entity type
- Individual (NPI-1)
- Name
- Kayla Maczuga
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2025
- Certification date
- Jan 6, 2025
- Last updated
- Jan 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 9119583 | FL | Yes |
Practice location
3650 Colonial CtFort Myers, FL 33913
Phone 239-274-6070
Mailing address
19103 Rosewood Creek WayTampa, FL 33647
Phone 813-545-6283
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