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1598165243
DIANA MICHELLE PETRUK
FORT LAUDERDALE, FL
NPI
1598165243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9108430)
Enumeration Date
2014-08-31
Last Update Date
2020-03-11
Business Address
DIANA MICHELLE PETRUK PA-C
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316-2510
Phone number: 954-355-4400
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Mailing Address
DIANA MICHELLE PETRUK PA-C
17 SW 11TH CT
FORT LAUDERDALE, FL 33315-1240
Phone number: 954-663-2583
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