NPI 1013938778

Mirna Antonieta Waidele, PA

Practitioner Medical Physician Assistant Boca Raton, FL

Practice location

Address: 7100 W Camino Real Suite 200, Boca Raton, FL 33433-5510
Phone: (561) 391-6552
Fax: (561) 391-6285

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA9101003 (FL)

Other Physician Assistant providers in Florida →

Registry record

NPI: 1013938778
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jul 2006
Record last updated: 20 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.