DIANA MICHELLE PETRUK

FORT LAUDERDALE, FL
NPI1598165243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9108430)
Enumeration Date2014-08-31
Last Update Date2020-03-11
Business Address
DIANA MICHELLE PETRUK PA-C
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316-2510
Phone number: 954-355-4400
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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