Individual provider · Type 1 NPI

Marina Mikitchuk, PA

Surgical Physician Assistant · Boca Raton, FL

NPI number 1861626632 Active

Practice location

10 E Palmetto Park Rd
Boca Raton, FL 33432-4864

Call (718) 996-1448 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X013207 (NY)
Surgical Physician Assistant Primary 363AS0400X9109430 (FL)

Surgical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1861626632

Marina Mikitchuk, PA's National Provider Identifier is 1861626632, issued on May 8, 2009. 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 Jan 18, 2022.