Individual provider · Type 1 NPI

Alexa Ely Maziuk, PA-C

Surgical Physician Assistant · Boca Raton, FL

NPI number 1053941625 Active

Practice location

800 Meadows Rd, Marcus Neuroscience Institute
Boca Raton, FL 33486

Mailing address

1001 NW 13th St Ste 201
Boca Raton, FL 33486-2269

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9112958 (FL)
Physician Assistant 363A00000XNone listed
Medical Physician Assistant 363AM0700XPA9112958 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1053941625

Alexa Ely Maziuk, PA-C's National Provider Identifier is 1053941625, issued on Jan 22, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boca Raton, FL. The record was last updated on Jun 3, 2024.