Individual
NICOLE SCHTUPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RDMS
Contact information
Practice address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3609
(954) 689-5132
Mailing address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3609
(954) 689-5132
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109255
FL
Other
Enumeration date
11/04/2015
Last updated
02/04/2016
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