Individual
MS. MEGAN CECKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
621 VICTORIA ST, BRANDON, FL 33510-4313
(813) 655-0292
Mailing address
621 VICTORIA ST, BRANDON, FL 33510-4313
(813) 655-0292
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
2643-023
WI
363AM0700X
Medical Physician Assistant
Primary
9107337
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009175700
—
FL
01
—
1088923
NCCPA
WI
01
—
2643-023
STATE LICENSE
WI
Enumeration date
02/09/2011
Last updated
02/08/2024
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