Individual
ANNA TERESA MIXA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1609 PASADENA AVE S STE 1A, SOUTH PASADENA, FL 33707-4514
(727) 321-9644
Mailing address
3612 EL CENTRO ST, ST PETE BEACH, FL 33706-3908
(727) 743-0728
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118132
FL
Other
Enumeration date
11/21/2023
Last updated
01/23/2024
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