Individual provider · Type 1 NPI

Mikaela Rae De Jesus, PA-C

Surgical Physician Assistant · Celebration, FL

NPI number 1346028198 Active

Practice location

2954 Mallory Cir Ste 101
Celebration, FL 34747-1822

Fax (321) 939-0225

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9117804 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1346028198

Mikaela Rae De Jesus, PA-C's National Provider Identifier is 1346028198, issued on Sep 21, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Celebration, FL. The record was last updated on Nov 30, 2024.