Healthcare Provider Details

I. General information

NPI: 1215640511
Provider Name (Legal Business Name): ARIELLE MASADA CLAYMAN MPH, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2023
Last Update Date: 01/02/2023
Certification Date: 01/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 CLEVELAND CLINIC BLVD
WESTON FL
33331-3609
US

IV. Provider business mailing address

7930 PALACIO DEL MAR DR
BOCA RATON FL
33433-4148
US

V. Phone/Fax

Practice location:
  • Phone: 877-463-2010
  • Fax:
Mailing address:
  • Phone: 561-504-9387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9116878
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: