Tyler S. Passalacqua PA-C
Medical Physician Assistant in Boca Raton, FL(View on Map)
Full Name
Tyler Stephanie Passalacqua PA-C
NPI Number
1225659147
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/01/2020
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9113012
Contact
Information
Purpose
Mailing
Location
Address
4855 W HILLSBORO BLVD STE B-2
950 GLADES RD STE 4A
City
Coconut Creek
Boca Raton
State
FL
FL
Postal Code
33073
33431-6401
Country
US
US
Telephone Number
(954) 418-1683
(561) 391-8086
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/04/2022