IndividualActive
Alexa Tkachuck, PA-C
NPI 1386463909 · Physician Assistant · Fort Lauderdale, FL
Provider details
- NPI number
- 1386463909
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 9118975 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2838 E Oakland Park Blvd
Fort Lauderdale, FL 33306-1814
Phone: (954) 564-0040
Approximate (ZIP-level) locationGet directions
Mailing address
2838 E Oakland Park Blvd
Fort Lauderdale, FL 33306-1814
Registry dates
- Enumerated
- 2024-10-09
- Last updated
- 2024-10-09
- Certified
- 2024-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.