Female

Alexa E. Maziuk PA-C

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

Full Name

Alexa Ely Maziuk PA-C

NPI Number

1053941625

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/22/2020

Specialties

(Taxonomies)

Code

363AS0400X
363AM0700X
363A00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Florida

License Number

PA9112958

Contact
Information

Purpose

Mailing
Location

Address

1001 NW 13TH ST STE 201
800 MEADOWS RD

City

Boca Raton
Boca Raton

State

FL
FL

Postal Code

33486-2269
33486

Country

US
US

Telephone Number

(828) 231-0368
(561) 955-4600

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

Data last updated by provider on 06/03/2024

Provider Address

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