Alisa A. Matouka PA-C
Physician Assistant in Hollywood, FL(View on Map)
Full Name
Alisa Anne Matouka PA-C
NPI Number
1942727722
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/23/2017
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9100937
Contact
Information
Purpose
Mailing
Location
Address
4510 SHERIDAN ST
4510 SHERIDAN ST
City
Hollywood
Hollywood
State
FL
FL
Postal Code
33021-3516
33021-3516
Country
US
US
Telephone Number
(954) 893-8900
(954) 893-8900
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/12/2021
Provider Address
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