Individual provider · Type 1 NPI
Monica Tirtarahardja, PA-C
Surgical Physician Assistant · Lake Worth, FL
NPI number
1770117830
Active
Practice location
5503 S Congress Ave Ste 204
Lake Worth, FL 33462-6626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA9112886 (FL) |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
Other surgical physician assistant providers in Lake Worth
- Eileen M. Flanagan, P.A.Surgical Physician Assistant Lake Worth, FL NPI 1093758955
- John Santoro, SA-CSurgical Physician Assistant Lake Worth, FL NPI 1194389361
- Charles David Sanford, P.A.Surgical Physician Assistant Lake Worth, FL NPI 1295773711
- Shannen Marie Seversen, PA-CSurgical Physician Assistant Lake Worth, FL NPI 1457895161
- Madison Lynn Schwerzler, PA-CSurgical Physician Assistant Lake Worth, FL NPI 1467065045
- Oscar J. Ordenana, P.A.Surgical Physician Assistant Lake Worth, FL NPI 1548273097
- Marvin Dozier, CSASurgical Physician Assistant Lake Worth, FL NPI 1649311143
- Michael ShapiroSurgical Physician Assistant Lake Worth, FL NPI 1710575832
About NPI 1770117830
Monica Tirtarahardja, PA-C's National Provider Identifier is 1770117830, issued on Feb 27, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lake Worth, FL. The record was last updated on Jul 12, 2020.