Provider Demographics
NPI:1053176446
Name:SURIYA, NAWAL (PA-C)
Entity type:Individual
Prefix:
First Name:NAWAL
Middle Name:
Last Name:SURIYA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:15491 SW 18TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4308
Mailing Address - Country:US
Mailing Address - Phone:786-631-8560
Mailing Address - Fax:
Practice Address - Street 1:4685 S CONGRESS AVE STE 201
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-4761
Practice Address - Country:US
Practice Address - Phone:561-548-8600
Practice Address - Fax:561-548-8650
Is Sole Proprietor?:No
Enumeration Date:2024-02-15
Last Update Date:2025-01-17
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant