ALISA ANNE MATOUKA

HOLLYWOOD, FL
NPI1942727722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9100937)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: FL  PA9100937)
Enumeration Date2017-08-23
Last Update Date2021-10-12
Business Address
ALISA ANNE MATOUKA PA-C
4510 SHERIDAN ST
HOLLYWOOD, FL 33021-3516
Phone number: 954-893-8900
Mailing Address
ALISA ANNE MATOUKA PA-C
4510 SHERIDAN ST
HOLLYWOOD, FL 33021-3516
Phone number: 954-893-8900