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Miss Monica Tirtarahardja, PA-C
Surgical Physician Assistant in Lake Worth, Florida
NPI 1770117830

Monica Tirtarahardja is a Surgical Physician Assistant based in Atlantis, FL and is specialized in Surgical. Monica Tirtarahardja practices in Lake Worth, FL and has the professional credentials of PA-C. The NPI Number for Monica Tirtarahardja is 1770117830 and holds a License No. PA9112886 (Florida).

The current practice location address for Monica Tirtarahardja is 5503 S Congress Ave Ste 204, Lake Worth, FL and can be reached out via phone at 561-410-5110.

Location: 5503 S Congress Ave Ste 204, Lake Worth, FL, 33462-6626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770117830
Provider Name
Monica Tirtarahardja
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5503 S Congress Ave Ste 204, Lake Worth, FL, 33462-6626
Phone Number
561-410-5110
Fax Number
Provider Enumeration Date
02/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5503 S Congress Ave Ste 204
City
Lake Worth
State
Florida
Zip
33462-6626
Phone Number
561-410-5110
Fax Number
person
Provider Business Mailing Address Details
Address
5503 S Congress Ave Ste 204
City
Lake Worth
State
Florida
Zip
33462-6626
Phone Number
561-410-5110
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA9112886 (Florida)
Definition
Definition to come...
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