Female

Priscilla D. Vallejo PA-C

Medical Physician Assistant in Miami Lakes, FL(View on Map)

Full Name

Priscilla Dulce Vallejo PA-C

NPI Number

1114457579

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/18/2017

Specialties

(Taxonomies)

Code

363AM0700X
106S00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

PA9118087

Contact
Information

Purpose

Mailing
Location

Address

8001 SW 36TH ST STE 9
16250 NW 57TH AVE

City

Davie
Miami Lakes

State

FL
FL

Postal Code

33328-1915
33014

Country

US
US

Telephone Number

(954) 577-7790
(786) 442-2136

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

Data last updated by provider on 12/21/2023

Provider Address

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