Most Relevant Information
Provider Data
| NPI Number: | 1003432063 |
| Provider Name: | NICOLE MARLENE SOCARRAS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | PA9112969 |
Most Important Dates
| Enumeration Date: | 06/24/2020 |
| Last Updated: | 12/23/2020 |
Provider Practice Location
15077 S DIXIE HWY
PALMETTO BAY
FL
331767930
Practice Location Phone/Fax
| Phone: | 7862933200 |
| Fax: | 3052329082 |
Provider Mailing Location
900 S PINE ISLAND RD STE 800
PLANTATION
FL
333243923
Provider Mailing Phone/Fax
| Phone: | 7862933200 |
| Fax: |