Search › Florida › 363AS0400X
Monica Tirtarahardja, PA-C
NPI 1770117830 · on the registry since 2020 · sole proprietor
Practice
- Address
- 5503 S Congress Ave Ste 204
Lake Worth, FL 33462 - Phone
- (561) 410-5110
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida