Female

Ms. Sandra M. Ujueta P.A.

Medical Physician Assistant in Hollywood, FL(View on Map)

Full Name

Ms. Sandra Maria Ujueta P.A.

NPI Number

1073660775

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/04/2007

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9102547

Contact
Information

Purpose

Mailing
Location

Address

7200 NW 19TH ST
5201 HOLLYWOOD BLVD

City

Miami
Hollywood

State

FL
FL

Postal Code

33126-1200
33021-6422

Country

US
US

Telephone Number

(305) 500-2009
(954) 981-5200

Identifiers

Identifier

PA9102547

Identifier State

FL

Identifier Issuer

PHYSICIAN ASSISTANT LICEN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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