Individual
ALEXA ELY MAZIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 MEADOWS RD, MARCUS NEUROSCIENCE INSTITUTE, BOCA RATON, FL 33486
(561) 955-4600
Mailing address
1001 NW 13TH ST STE 201, BOCA RATON, FL 33486-2269
(828) 231-0368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
PA9112958
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9112958
FL
Other
Enumeration date
01/22/2020
Last updated
06/03/2024
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