MEDICARE: KAYLA CURRAN AQUILINA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant
2	363AM0700X	Medical Physician Assistant	PA9112339	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689239204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA CURRAN AQUILINA

Provider Business Mailing Address
First Line	:	840 US HIGHWAY 1 STE 235
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3835
Country	:	US
Telephone Number	:	561-626-2006
Fax Number	:

Provider Business Practice Location Address
First Line	:	840 US HIGHWAY 1 STE 235
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3835
Country	:	US
Telephone Number	:	561-626-2006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2019
Last Update Date	:	11/06/2021

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Directions to “ KAYLA CURRAN AQUILINA ” Practice Location

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