Individual
MARINA MIKITCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10 E PALMETTO PARK RD, BOCA RATON, FL 33432-4864
(718) 996-1448
Mailing address
1001 NW 13TH ST STE 201, BOCA RATON, FL 33486-2269
(561) 955-6663
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
013207
NY
363AS0400X
Surgical Physician Assistant
Primary
9109430
FL
Other
Enumeration date
05/08/2009
Last updated
01/18/2022
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