Female

Jenya Titova PA-C

Physician Assistant in Boca Raton, FL(View on Map)

Full Name

Jenya Titova PA-C

NPI Number

1578672515

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/30/2006

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida
New Jersey

License Number

PA9106540
25MP00151100

Contact
Information

Purpose

Mailing
Location

Address

880 NW 13TH ST
880 NW 13TH ST

City

Boca Raton
Boca Raton

State

FL
FL

Postal Code

33486-1870
33486-2342

Country

US
US

Telephone Number

(561) 750-0544
(561) 750-0544

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

Data last updated by provider on 10/16/2012

Provider Address

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