Individual
MRS. DIANA AVAKYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C MS
Contact information
Practice address
8177 GLADES ROAD, BAY25, BOCA RATON, FL 33434-3285
(561) 955-0525
Mailing address
8177 GLADES ROAD, BAY25, BOCA RATON, FL 33434-3285
(561) 955-0525
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
020543
NY
363AM0700X
Medical Physician Assistant
Primary
PA9115755
FL
Other
Enumeration date
01/25/2017
Last updated
04/11/2024
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