person
Mirna Antonieta Waidele, PA
Medical Physician Assistant in Boca Raton, Florida
NPI 1013938778

Mirna Antonieta Waidele is a Medical Physician Assistant based in Boca Raton, FL and is specialized in Medical. Mirna Antonieta Waidele practices in Boca Raton, FL and has the professional credentials of PA. The NPI Number for Mirna Antonieta Waidele is 1013938778 and holds a License No. PA9101003 (Florida).

The current practice location address for Mirna Antonieta Waidele is 7100 W Camino Real, Boca Raton, FL and can be reached out via phone at 561-391-6552 and via fax at 561-391-6285.

Location: 7100 W Camino Real, Boca Raton, FL, 33433-5510
person
Provider Profile Details
NPI Number
1013938778
Provider Name
Mirna Antonieta Waidele
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
7100 W Camino Real, Boca Raton, FL, 33433-5510
Phone Number
561-391-6552
Fax Number
561-391-6285
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7100 W Camino Real
City
State
Zip
33433-5510
Phone Number
561-391-6552
Fax Number
561-391-6285
person
Provider Business Mailing Address Details
Address
7100 W Camino Real
City
State
Zip
33433-5510
Phone Number
561-391-6552
Fax Number
561-391-6285
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9101003 (Florida)
Definition
Definition to come...
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