person
Mrs. Martha M Mixa, PA
Surgical Physician Assistant in St Petersburg, Florida
NPI 1760718969

Martha M Mixa is a Surgical Physician Assistant based in St Petersburg, FL and is specialized in Surgical. Martha M Mixa practices in St Petersburg, FL and has the professional credentials of PA. The NPI Number for Martha M Mixa is 1760718969 and holds a License No. PA9105230 (Florida).

The current practice location address for Martha M Mixa is 5959 Central Ave, St Petersburg, FL and can be reached out via phone at 727-321-9644 and via fax at 727-321-8580.

Location: 5959 Central Ave, St Petersburg, FL, 33710-8502
person
Provider Profile Details
NPI Number
1760718969
Provider Name
Martha M Mixa
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
5959 Central Ave, St Petersburg, FL, 33710-8502
Phone Number
727-321-9644
Fax Number
727-321-8580
Provider Enumeration Date
10/22/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5959 Central Ave
City
State
Zip
33710-8502
Phone Number
727-321-9644
Fax Number
727-321-8580
person
Provider Business Mailing Address Details
Address
5959 Central Ave
City
State
Zip
33710-8502
Phone Number
727-321-9644
Fax Number
727-321-8580
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9105230 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9105230 (Florida)
Definition
Definition to come...
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