Individual provider · Type 1 NPI

Martha M. Mixa, PA

Medical Physician Assistant · St. Petersburg, FL

NPI number 1760718969 Active

Practice location

5959 Central Ave, Ste 101
St. Petersburg, FL 33710-8502

Fax (727) 321-8580

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9105230 (FL)
Surgical Physician Assistant 363AS0400XPA9105230 (FL)

Medical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1760718969

Martha M. Mixa, PA's National Provider Identifier is 1760718969, issued on Oct 22, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Oct 23, 2009.