Individual
DIANA MARCELA ERASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, PA-C
Contact information
Practice address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3609
(866) 293-7866
Mailing address
14260 SW 57TH LN APT 204, MIAMI, FL 33183-1061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112145
FL
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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