Individual
NICOLE MARLENE SOCARRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15077 S DIXIE HWY, PALMETTO BAY, FL 33176-7930
(786) 293-3200
(305) 232-9082
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(786) 293-3200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9112969
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108412700
—
FL
Enumeration date
06/24/2020
Last updated
12/23/2020
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