Most Relevant Information
Provider Data
NPI Number: | 1003365438 |
Provider Name: | REBECCA ISABEL URRUTIA PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | PA9109841 |
Most Important Dates
Enumeration Date: | 09/27/2016 |
Last Updated: | 09/18/2019 |
Provider Practice Location
220 SW 84TH AVE STE 102
PLANTATION
FL
333242729
Practice Location Phone/Fax
Phone: | 9547201530 |
Fax: | 9547206540 |
Provider Mailing Location
8529 NW 21ST ST
CORAL SPRINGS
FL
330716222
Provider Mailing Phone/Fax
Phone: | 9547783004 |
Fax: |