Individual provider · Type 1 NPI

Maria M. Dutra, PA

Medical Physician Assistant · Plantation, FL

NPI number 1194790428 Active

Practice location

8329 W Sunrise Blvd
Plantation, FL 33322-5405

Fax (954) 474-3489

Mailing address

201 NW 82 Ave, Suite 202
Plantation, FL 33324-1854

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1194790428

Maria M. Dutra, PA's National Provider Identifier is 1194790428, issued on Feb 21, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Plantation, FL. The record was last updated on May 8, 2019.