Individual
JENYA TITOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
880 NW 13TH ST, SUITE 3C, BOCA RATON, FL 33486-2342
(561) 750-0544
Mailing address
880 NW 13TH ST, SUITE 3C, BOCA RATON, FL 33486-1870
(561) 750-0544
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00151100
NJ
363A00000X
Physician Assistant
Primary
PA9106540
FL
Other
Enumeration date
08/30/2006
Last updated
10/16/2012
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